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M ARCH 2005 V OLUME 15, N UMBER 3 IHE Guides Development of Electronic Health Record System Also Inside: Medical X-Rays Added to Government’s Carcinogen List CT Screenings Predict Smoker’s Lung Cancer Risk Taking Care of Your Financial Health: Estate Planning for Physicians—Part 2 Paperless Environment Improves Radiologist Efficiency New Stroke Prevention Therapy as Effective as Invasive Surgery Abstract Deadline for RSNA 2005 April 15, 2005

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Page 1: 003 RSNA News Mar 05 FIN · 2012. 3. 5. · Title: 003 RSNA News Mar 05 FIN.qxd Author: Aindyk Created Date: 2/25/2005 8:07:03 AM

MARCH 2005 ■ VO LU M E 15, NUMBER 3

IHE Guides Development of Electronic Health Record System

Also Inside:■ Medical X-Rays Added to Government’s Carcinogen List ■ CT Screenings Predict Smoker’s Lung Cancer Risk■ Taking Care of Your Financial Health: Estate Planning for Physicians—Part 2■ Paperless Environment Improves Radiologist Efficiency■ New Stroke Prevention Therapy as Effective as Invasive Surgery

Abstract D

eadline for RSNA 2005

April 15, 2005

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MA RCH 2005

1 People in the News2 Announcements3 Letter to the Editor

Feature Articles 4 IHE Guides Development of Electronic Health

Record System 6 Paperless Environment Improves Radiologist

Efficiency7 New Stroke Prevention Therapy as Effective as

Invasive Surgery9 Medical X-Rays Added to Government’s

Carcinogen List 11 CT Screenings Predict Smoker’s Lung Cancer Risk12 Taking Care of Your Financial Health:

Estate Planning for Physicians—Part 2

15 Publisher Partners

Funding Radiology’s Future24 R&E Foundation Donors

14 Product News19 Journal Highlights20 Radiology in Public Focus21 RSNA: Working for You22 Program and Grant Announcements26 Meeting Watch27 Exhibitor News29 RSNA.org

E D I T O RSusan D. Wall, M.D.

D E P U T Y E D I T O RBruce L. McClennan, M.D.

C O N T R I B U T I N G E D I T O RRobert E. Campbell, M.D.

M A N A G I N G E D I T O RNatalie Olinger Boden

E X E C U T I V E E D I T O RJoseph Taylor

E D I T O R I A L A D V I S O R SDave Fellers, C.A.E.

Executive DirectorRoberta E. Arnold, M.A., M.H.P.E.

Assistant Executive DirectorPublications and Communications

E D I T O R I A L B O A R DSusan D. Wall, M.D.

ChairBruce L. McClennan, M.D.

Vice-ChairSilvia D. Chang, M.D.Richard T. Hoppe, M.D.Jonathan B. Kruskal, M.D., Ph.D.Stephen J. Swensen, M.D.William T.C. Yuh, M.D., M.S.E.E.Hedvig Hricak, M.D., Ph.D.

Board Liaison

C O N T R I B U T I N G W R I T E R SBruce DixonJoan DrummondMary E. NovakMarilyn Idelman Soglin

G R A P H I C D E S I G N E RAdam Indyk

W E B M A S T E R SJames GeorgiKen Schulze

2 0 0 5 R S N A B O A R D O F D I R E C T O R SR. Gilbert Jost, M.D.

ChairmanTheresa C. McLoud, M.D.

Liaison for EducationGary J. Becker, M.D.

Liaison for ScienceHedvig Hricak, M.D., Ph.D.

Liaison for Publications andCommunications

Burton P. Drayer, M.D.Liaison for Annual Meeting and Technology

George S. Bisset III, M.D.Liaison-designate for Education

David H. Hussey, M.D.President

Robert R. Hattery, M.D.President-elect

RSNA NewsMarch 2005 • Volume 15, Number 3

Published monthly by the Radiological Societyof North America, Inc., at 820 Jorie Blvd., Oak Brook, IL 60523-2251. Printed in the USA.

POSTMASTER: Send address correction“changes” to: RSNA News, 820 Jorie Blvd., OakBrook, IL 60523-2251.

Nonmember subscription rate is $20 per year;$10 of active members’ dues is allocated to asubscription of RSNA News.

Contents of RSNA News copyrighted ©2005 bythe Radiological Society of North America, Inc.

Letters to the EditorE-mail: [email protected]: (630) 571-7837RSNA News820 Jorie Blvd.Oak Brook, IL 60523

SubscriptionsPhone: (630) 571-7873 E-mail: [email protected]

Reprints and PermissionsPhone: (630) 571-7829Fax: (630) 590-7724E-mail: [email protected]

RSNA Membership: (877) RSNA-MEM

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1R S N A N E W SR S N A N E W S . O R G

New HHS SecretaryMichael O. Leavitt is the new secre-tary of the U.S. Department of Healthand Human Services (HHS).

Prior to his position at HHS,Leavitt served as administrator of theU.S. Environmental ProtectionAgency and also served three terms asUtah governor during which his statewas recognized six times as one ofAmerica’s best managed states.

“Americans deserve the healthcareof the 21st century. We’ve earned it.That includes modern medical tech-nology, modern information technol-ogy and modern, consumer-focused

delivery sys-tems,” Leavittsaid during hisconfirmationhearing. “I seea world that israpidly mov-ing towardpersonalizedmedicine. Peo-ple will own their own health savings,health insurance and health records.”

Leavitt has a bachelor’s degree ineconomics and business from South-ern Utah University.

ECR Awards Honorary Memberships, Gold Medals

RSNA Past-President Brian C. Lentle, M.D.,was named an honorary member of the

European Congress of Radiology (ECR) duringECR 2005 this month in Vienna, Austria. Hon-orary membership was also awarded to JosephT. Ferrucci, M.D., of Boston, Ricardo D.Garcia-Mónaco, M.D., of Buenos Aires, and

Man Chung Han, M.D., Ph.D., of Seoul,South Korea.

The ECR gold medal was awarded toWolfgang W.M. Dihlmann, M.D., of Ham-burg, Germany, Hans G. Ringertz, M.D.,Ph.D., of Stockholm, Sweden, and JacquelineVignaud, M.D., of Vouzon, France.

Michael O. Leavitt

PEOPLE IN THE NEWS

Accomplished cardiac-thoracic radiolo-gist and longtime patient care advocateHarald O. Stolberg, M.D., died inJanuary at the age of 79.

Dr. Stolberg was considered a pio-neer in evidence-based radiology andwas the father of most of the standardsof practice held by the Canadian Asso-ciation of Radiologists (CAR). He wasborn in Austria and moved to Canadain the mid-1950s where he completedhis radiology residency at TorontoGeneral Hospital, and later practiced atHamilton General Hospital and taughtat McMaster University MedicalSchool.

“Dr. Stolbergwas a leadingforce in the prac-tice, researchand teaching ofradiology overthe past fourdecades inHamilton and inCanadian radiology,” said CAR Presi-dent Lawrence Stein, M.D.

An RSNA member for 40 years,Dr. Stolberg earned several prestigiousawards including the CAR gold medaland the Queen’s Jubilee Medal.

IN MEMORIAM:

Harald O. Stolberg, M.D.Barkovich EarnsPeter Emil BeckerAwardA. James Barkovich,M.D., a professor in theDepartment of Radiol-ogy at the University ofCalifornia, San Fran-cisco, will receive theprestigious Peter EmilBecker award nextmonth at the annual meeting of theGerman-Swiss-Austrian Society ofPediatric Neurology. The award isgiven to “outstanding individuals whohave contributed on an internationallevel to child neurology.”

Send your submissions for People in the News to [email protected], (630) 571-7837 fax, or RSNA News, 820 Jorie Blvd., OakBrook, IL 60523. Please include your full name and telephone number. You may also include a non-returnable color photo, 3x5 or

larger, or electronic photo in high-resolution (300 dpi or higher) TIFF or JPEG format (not embedded in a document). RSNA News maintains the right toaccept information for print based on membership status, newsworthiness and available print space.

Dean Joins Govern-ment Relations FirmThe founding/acting directorof the National Institute ofBiomedical Imaging and Bio-engineering (NIBIB) hasjoined a government relationsfirm in Washington, D.C.

Donna J. Dean, Ph.D.,is the new senior scienceadvisor for Lewis-BurkeAssociates L.L.C. She will develop strate-gies and provide advice to universitiesand others seeking federal financial sup-port for biomedical and other relatedresearch initiatives.

Brian C. Lentle, M.D.

Harald O. Stolberg, M.D. A. James Barkovich,M.D.

Donna J. Dean, Ph.D.

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2 R S N A N E W S M A R C H 2 0 0 5

THE Jefferson Ultrasound Researchand Education Institute (JUREI) at

the Thomas Jefferson University inPhiladelphia was instrumental in theestablishment of an ultrasound train-ing center in Belgrade, the capital ofSerbia and Montenegro.

The center was dedicated in Octo-ber in honor of native SerbianAlexander Margulis, M.D., formerchairman of radiology at the Univer-sity of California, San Francisco. Over the past10 years, Dr. Margulis has worked tirelessly toadvance radiology worldwide.

JUREI, under the direction of Barry B.Goldberg, M.D., is also dedicated to advancingradiology, especially in emerging nations. This

is the 65th affiliated ultrasound training centerfor JUREI.

The Belgrade center was also the benefici-ary of a grant from Lifeline, a charity run bySerbia’s Princess Katherine, and 30 ultrasoundunits donated by Siemens.

Ultrasound Training CenterOpens in Belgrade

ANNOUNCEMENTS

PEOPLE IN THE NEWS

AMI Presents Two Awards

TWO LEADERS in molecular imaging arethe recipients of 2005 awards from the

Academy of Molecular Imaging (AMI).At the AMI annual conference this

month in Orlando, the Peter Valk Distin-guished Clinical Scientist Award was pre-sented to Anthony Shields, M.D., Ph.D.,from Wayne State University in Detroit.Dr. Shields’ research focuses on thedevelopment of new imaging technolo-gies to measure tumor response to ther-apy, particularly using positron emissiontomography (PET).

Joanna Fowler, Ph.D., director of thePET program at Brookhaven NationalLaboratory in New York, received theDistinguished Basic Scientist Award. Dr.Fowler and colleagues designed and syn-thesized 18F-FDG, a radiotracer widelyused to study brain function and in cancerdiagnosis and treatment planning. Shealso developed the radiotracer 11C-cocaine, providing the tools for the first documentation thatcocaine movement in the human brain parallels its behavioraleffects.

Thrall Joins E-Z-EMBoard of DirectorsJames H. Thrall, M.D., hasbeen appointed to the board ofdirectors of E-Z-EM, a lead-ing manufacturer of contrastagents for gastrointestinalradiology.

Dr. Thrall is the Juan M.Taveras Professor of Radiol-ogy at Harvard MedicalSchool and radiologist-in-chief at Massachusetts General Hospital. He is also the perspectives editorfor Radiology and serves on the RSNA Research &Education Foundation Board of Trustees.

James H. Thrall, M.D.

Rost Named CEO ofRadiology Group Raymond C. Rost Jr., M.D.,is the new president and chiefexecutive officer of Profes-sional Radiology, Inc., one ofthe largest radiology groups inthe greater Cincinnati area. Hesucceeds Terry D. Traiforos,M.D. Raymond C. Rost Jr., M.D.

Anthony Shields, M.D.,Ph.D.

Joanna Fowler, Ph.D.

(from left) Serbia’s Prince Alexander, Hedvig Hricak, M.D.,Ph.D., Barry B. Goldberg, M.D., Alexander Margulis, M.D.,and Serbia’s Princess Katherine.

Medical Imaging Company News:■ Eastman Kodak Com-pany has entered into anagreement to acquireOREX Computed Radiog-raphy Ltd., for $50.5 mil-lion in cash.

■ AliMed, Inc., hasacquired Arista SurgicalSupply Company. AliMedmanufactures and sup-plies products rangingfrom diagnostic imagingand operating roomaccessories, to orthopedicrehabilitation equipmentand ergonomic workplacesolutions.

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3R S N A N E W SR S N A N E W S . O R G

ANNOUNCEMENTS

Pioneer Award Program Opens

NOMINATIONS ARE being accepteduntil April 1 for the 2005 NIH

Director’s Pioneer Award.“The Pioneer Award supports

scientists of exceptional creativitywho take innovative approaches tomajor challenges in biomedicalresearch,” said NIH Director EliasA. Zerhouni, M.D. “We look for-ward to adding a new cohort ofvisionary thinkers to the outstand-ing group of scientists chosen inthe first year of this program.”

Unlike other NIH grants, which

support research projects, the Pio-neer Award supports individual sci-entists. The award gives recipientsthe intellectual freedom to pursuenew research directions and highlyinnovative ideas that have thepotential for unusually greatimpact.

For more information, go tonihroadmap.nih.gov/pioneer. Thecomplete Pioneer Award announce-ment is available at grants1.nih.gov/grants/guide/notice-files/ NOT-OD-05-021.html.

NIH Posts Information for New InvestigatorsThe Office of Extramural Research (OER) atthe National Institutes of Health (NIH) hasadded Web pages that provide new researcherswith a better understanding of how NIH works.The Web site describes current policies, datarelated to the influx of new investigators,resources that new investigators can use, andhelpful hints that might be useful in construct-ing a first application for NIH support. Theinformation can be found at grants.nih.gov/grants/new_investigators/index.htm.

FDA Offers Patient Information on Recently Approved DevicesThe U.S. Food and Drug Administration’s Center for Devices and Radio-logical Health has created consumer information Web pages for tworecently approved medical devices. The pages briefly describe thedevices, explain what they are intended to do, andtell how they should and should not be used.

One device is the Endologic PowerLink®

System for treating abdominal aortic aneurysms (www.fda.gov/cdrh/mda/docs/p040002.html). The second is the Charité™ Artificial Disc for treat-ing pain associated with degenerative disc disease (www.fda.gov/cdrh/mda/docs/p040006.html).

TO THE EDITOR:The otherwise excellent arti-cle in the December RSNANews, “Radiologists CanHelp Patients Avoid Home-land Security Crisis,” did notaddress the subject of patientconfidentiality and HIPAAcompliance. It would be aviolation of HIPAA if theonly provision for verifica-tion of the treatment of apatient was a simple tele-phone call to a hospitaladministrator.

The patient must give

consent for release of thisinformation. The consentshould be in writing. If noconsent form is on file, anyadministrator releasing theinformation would be doingso without the patient’sauthorization. Perhaps theargument would be madethat confidential patientinformation was released inthe interest of national secu-rity, but the patient couldcontest that assertion.

Also, the hospital must

confirm that the calleris who he says he is.The administratorcannot release confi-dential patient infor-mation to anyonewho happens to callasking for it. Picturethe celebrity patient who hasreceived radioisotope ther-apy. Someone calls the hos-pital asking if Mr. Doe hasbeen treated with I-131 forthyroid cancer. Do we wantto confirm that to any caller?

No, of coursenot. The iden-tity of thecaller shouldbe confirmedand thepatient’s con-sent to release

this information should beobtained and documented.GREGORY R. WEAVER, M.D.CHIEF, DEPARTMENT OF

MEDICAL IMAGING

BAPTIST HOSPITAL

NASHVILLE, TENN.

LETTER TO THE EDITOR

RSNA News welcomes Letters to the Editor. Let us know what’s on your mind. Send your letter by mail to RSNA News, 820Jorie Blvd., Oak Brook, IL 60523, by fax to (630) 571-7837, or by e-mail to [email protected]. Please include your full nameand telephone number. Letters may be edited for purposes of clarity and space.

NEMA Releases Code of EthicsThe National Electronic Manufacturers Associa-tion (NEMA) has approved a voluntary code ofethics for manufacturers of medical imaging andradiation therapy equipment. The code providesrecommended prac-tices on interactionsbetween suppliers of medical imaging equipmentand healthcare providers. These practices addresssuch issues as product training, educational con-ferences and consultation.

To review the code, go to www.nema.org/media/pr/upload/NEMA%20CodeofEthics.FAQ.adopted.pdf.

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4 R S N A N E W S M A R C H 2 0 0 5

THE Integrating the HealthcareEnterprise (IHE) initiative is play-ing a crucial role in the dialog to

develop a national health informationnetwork.

Established six years ago by RSNAand the Healthcare Information andManagement Systems Society(HIMSS), IHE was among 13 healthand information technology organiza-tions that, in January, presented theBush administration with recommenda-tions for establishing an electronicnational patient health record. In anunprecedented collaboration, the healthand information groups worked to cre-ate a common framework supportingimproved health information exchangein the United States while protectingpatient privacy.

During a healthcare informationtechnology summit at the ClevelandClinic on January 27, President Bushsaid: “We’ve got fantastic new pharma-ceuticals that help save lives, but we’vegot docs still writing records by hand.… So the fundamental question is, howdo we encourageinformation technol-ogy in a field likehealthcare that willsave lives, makepatients moreinvolved in deci-sion-making, andsave money for theAmerican people?”

He pointed tothe new NationalCoordinator for Health InformationTechnology, David J. Brailer, M.D.,Ph.D., who has set a goal that everyAmerican will have an electronic med-ical record in 10 years.

It was a request by Dr. Brailer late

last year that brought together IHE andthe other 12 groups to help devise anational health information infrastruc-ture. One of the group’s recommenda-tions was connectivity built on theInternet and other existing networks.

“IHE is recognized as a very goodprocess model and has taken a leader-

ship role in establishingintegrated technologysolutions that affect real-world practice,” saidDavid S. Channin, M.D.,a member of the RSNAElectronic Communica-tions Committee (ECC).“Radiology can be veryproud that it was integralin the process and is acore contributor to the

collaborative response.” Under IHE, participating healthcare

professionals work to improve the waycomputer systems in healthcare shareinformation. Since 1998, IHE hasexpanded from radiology and IT infra-

structure to include nuclear medicine,radiation oncology, cardiology and clin-ical laboratory and pathology.

IHE ConnectathonOne part of the equation is providingmedical technology vendors a neutralspace and project leadership in testingequipment to solve integration prob-lems. The centerpiece of the IHE test-ing process is the Connectathon, aweeklong interoperability testing eventthat takes place every 12 to 15 monthsat RSNA Headquarters in Oak Brook,Ill. The 2005 Connectathon was heldJanuary 17-21.

The Connectathon allows participat-ing companies to test their IHE capabil-ities with corresponding systems fromindustry peers. During the event, theirsystems exchange information with sys-tems from other vendors, performing allof the transactions required for selectedroles, called IHE Actors, in support ofdefined clinical functions, called IHEIntegration Profiles.

IHE Guides Development of Electronic Health Record System

IHE is recognized as a very

good process model and has

taken a leadership role in

establishing integrated

technology solutions that

affect real-world practice.

David S. Channin, M.D.

FEATURE HOT TOPIC

President George W. Bush gets a demonstration on healthcare informationtechnology at the Cleveland Clinic.

Whi

te H

ouse

pho

to b

y Pa

ul M

orse

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“They’ve worked out the issues onpaper but vendors have to work outreal-world bugs when they take equip-ment to the hospital for installation,”said David W. Piraino, M.D., an ECCmember and chairman of the IHEStrategic Development Committee.“The Connectathon leads to huge costsavings for companies selling medicalequipment because they won’t have todo extensive, independent testing ineach hospital setting.”

This year’s Connectathon was thefirst comprehensive, multi-domainmeeting in North America. Forty-fivecompanies and three non-commercialentities participated. Thousands of testswere conducted among rows of laptopcomputers stretching throughout thelower level of the RSNA Headquartersbuilding.

“It’s like a beehive with engineersbusily moving around, testing,exchanging messages to confirm theycan share information and make appro-priate use of it,” said Christopher Carr,RSNA’s director of informatics.

“It’s a unique situation,” added Dr.Channin. “Vendors participate and learntogether. They are willing to help theircompetitors in the interoperabilitydomain because, in turn, it facilitateshow they’ll get the information theyneed. It’s tremendous.”

During the Connectathon, vendorsset up their equipment and begin run-ning a series of tests. Independent proj-ect managers review log files and walkaround checking off steps to verify eachcompany’s progress.

Connectathon organizers have cre-ated real-world testing scenarios so thatparticipants can run through them todemonstrate interoperability. One sce-nario features a patient suffering fromabdominal pain. The testing sequencefollows him to his primary care physi-cian and a gastroenterologist whoorders a CT scan. The patient’s history,exam results and laboratory findingsare stored in an electronic patientrecord available to the patient and med-ical professionals.

“We want to make sure the vendorscan complete the scenarios from start tofinish in real time and in sequence,”explained Carr. “We do this toprepare them for implementa-tion and also to prepare themfor public demonstrations thatare based on this event.”

This is the first year cardiol-ogy was included in the Connectathon.

Troy Wollman, a systems architectfor GE Healthcare brought a data man-agement system to be tested. “I love it,”said Wollman. “The great thing aboutthe Connectathon is that we work withour own products. It’s nice to be able to

come here and connect with Philips andCerner and other vendors to ensure thatour systems talk the way they are sup-posed to when they’re in the hospital.”

Veteran participants alsoresponded overwhelminglyin favor of the event, sayingthe IHE process addressesimportant issues in their

product development plans.The 2005 Connectathon test results

are available at www.ihe.net. They alsoinclude a comprehensive record of suc-cessful test results at all previous Con-nectathon events. The table lists each

5R S N A N E W SR S N A N E W S . O R G

Forty-five companies and threenon-commercial entities partici-pated in the IHE Connectathonat RSNA Headquarters.

Continued on page 10

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THE TRANSITION from a film-basedto a paperless environment isresponsible for a significant

improvement in a radiologist’s effi-ciency, but many radiology depart-ments still use paper to alert radiolo-gists to completed studies.

In addition, upgrades for picturearchiving and communication systems(PACS), such as integrated dictationand integrated clinical information,may be as important as PACS itself inimproving the workflow of the readingroom.

Jonathan L. Mates, M.D., formerlyof Henry Ford Hospital in Detroit, nowwith the University of Pittsburgh Med-ical Center (UPMC), presented thefindings of a new study during a scien-tific paper session at RSNA 2004.

Dr. Mates and his UPMC col-leagues conducted a workflow analysisthat involved videotaping three radiolo-gists dictating during their normalworkload. Two of the radiologists werefrom Henry Ford Hospi-tal; one was fromUPMC.

UPMC has both apaperless and a seldomused paper-driven sys-tem, while Henry FordHospital has a partiallyintegrated dictation sys-tem using a voice recog-nition application (Pow-erscribe) as well as anolder, completely uninte-grated dictation system using RTAS.

The researchers said they watchedthe videotapes and then categorized andclassified the various dictation tasks.The four categories for dictation were:• Session-level steps • Patient or study ID steps

• Preparatory steps • Dictation/interpretation steps “We identified those steps which weremost affected by the change to a paper-less environment and measured themean case dictation time and comparedthem between the various methods,”Dr. Mates explained.

The researchers found that radiolo-gists at the two institutions spent a sim-ilar amount of time interpreting images,but associated tasks took significantlyless time in the more integrated envi-ronments. “There is less time spent onitems like typing in patient informationor dictating patient data. And that’s juston the radiologist’s side—we didn’teven begin to discuss the improvementsfor the technologists,” said co-authorBarton Branstetter, M.D.

“We found that efficiency wasimproved when the integration betweenthe dictation system and PACS wasleveraged to automatically communi-cate information that was previously

the responsibilityof the radiologist,”Dr. Mates said.“In other words, inthe unintegrated,paper-driven sys-tems, the radiolo-gist had to bar-code or type thestudy number intothe dictation sys-tem and PACSseparately. With

an integrated, paperless system, the dic-tation system ‘knows’ from the PACSall the important study information.”

As an example, Dr. Mates said thatchanging from a barcode and type sys-tem to a paperless system could save19 seconds per case. A radiologist who

reads 200 cases a day could be finishedan hour earlier each day. At UPMC,they use their paperless system to readover 600,000 cases per year, theoreti-cally saving enough time to account fornearly two full-time radiologists.

“With this type of robust, reliableintegration, radiologists no longer haveto act as a bridge between the two sys-tems, and they can spend their time onthe most important part of the work-flow—interpreting the images,” Dr.Mates said.

Co-author Paul Chang, M.D., saidthe impact of the paperless environ-ment could be much broader, “I believethe real benefits go well beyond theradiologist and include very realimprovements in efficiency, patientthroughput, accuracy and patient safetythroughout the department.”

Dr. Mates cautioned that goingpaperless all by itself is not enough.The way in which it is done determineswhether a department solves problemsor creates new ones. “Worklist creation,

6 R S N A N E W S M A R C H 2 0 0 5

I believe the real benefits go

well beyond the radiologist

and include very real

improvements in efficiency,

patient throughput, accuracy

and patient safety throughout

the department.

Paul Chang, M.D.

Paperless Environment ImprovesRadiologist Efficiency

FEATURE TECHNOLOGY

Jonathan L. Mates, M.D.University of Pittsburgh Medical Center

Continued on page 10

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7R S N A N E W SR S N A N E W S . O R G

NEW RESEARCH demonstrates twoimportant radiographic findingsabout stroke. In one study, angio-

plasty and stenting were found to be assuccessful as surgery in treating carotidstenosis. In a second study, gender dif-ferences were found in carotid stenosisresponse and treatment.

Angioplasty and StentingGianluca Piccoli, M.D., an interven-tional radiologist at the Santa Mariadella Misericordia Hospital of Udine inItaly, presented the findings of hisstudy at RSNA 2004.

Directed by Daniele Gasparini,M.D., the researchers studied 222patients with carotid artery disease whounderwent angioplasty and stenting.They found that these patients had alower rate of complication and approxi-mately the same outcome as patientswho underwent the more invasivecarotid endarterectomy.

The accumulation of plaque in thecarotid artery can lead to stroke eitherby decreasing the blood flow to thebrain or by havingplaque break free andlodge in arteries supply-ing the brain or otherareas of the head. TheAmerican Stroke Associ-ation reports that strokeis the third leading causeof death in the UnitedStates behind heart disease and cancer.Stroke is also a leading cause of seri-ous, long-term disability with an esti-mated direct and indirect cost of $53.6billion in 2004.

In August 2004, the FDA approvedthe first carotid stenting system for usein the United States. A second system isunder review.

Dr. Piccoli said use of a protectivefilter is essential for reducing the riskof embolization.

“Although the filter is static, thecarotid artery changes diameter so thefilter cannot protect the entire diameterof the carotid but probably can trans-form a major stroke or fatal stroke to a

minor stroke,” he said.In surgery they usuallyclamp the carotid arteryto prevent emboliza-tion, but this is a prob-lem because you seeischemia in the lateralpart of the brainbecause you have no

flow during the intervention.”Dr. Piccoli’s study showed that

patients who underwent carotid angio-plasty and stenting had a lower rate ofacute complications (2.2 percent) thanthose undergoing surgery (3.0 percent).Six months later, his team found theangioplasty/stenting group had a fourpercent rate of restenosis, which is

about the same as patients treated withsurgery.

Because the procedure is relativelynew, Dr. Piccoli stressed the importanceof a multidisciplinary approach. “It’sessential that only experienced interven-tional experts perform these proce-dures,” he explained. “Radiology needsto work with angiology and neurologyto help quickly recognize a complica-tion and focus medical therapy.”

The cost of the materials used incarotid angioplasty and stenting is high,but the overall price of the procedure issimilar to surgery once the cost of anoperating room and a longer hospitalstay are included. Dr. Piccoli pointedout the advantages of the less invasiveprocedure, including shorter hospitalstays, use of local anesthesia and noneed for an incision in the neck.

He said his results are encouragingand demonstrate a need for further, ran-domized tests. “I think our results arein line with bigger studies,” he said.

New Stroke Prevention Therapyas Effective as Invasive Surgery

It’s essential that only

experienced interven-

tional experts perform

these procedures.

Gianluca Piccoli, M.D.

Gianluca Piccoli, M.D.Santa Maria della Misericordia Hospital, Udine, Italy

Barry T. Katzen, M.D.Baptist Cardiac & Vascular Institute,Miami

Continued on next page

FEATURE SCIENCE

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8 R S N A N E W S M A R C H 2 0 0 5

“Our research is going forward and, in2005, we hope to present more dataand have more information about thepatients we discussed today.”

ACT I TrialPatient enrollment is expected to beginearly this year in a separate study—theasymptomatic carotid trial (ACT I).The multicenter, randomized trial willcompare carotid artery stenting tocarotid artery surgery in asymptomaticpatients. It will involve up to 50 hospi-tals and as many as 1,500 patients inthe United States.

Carotid Artery Disease in Men vs. WomenMeanwhile, research presented at therecent Annual International Symposiumon Endovascular Therapy (ISET) inMiami Beach, Fla., showed that carotidartery disease in men should be treateddifferently than carotid artery disease inwomen.

Anthony Comerota, M.D., directorof the Jobst Vascular Center in Toledo,Ohio, said that blood flow velocities inthe carotid arteries of women are gen-erally about nine percent higher thanthey are in men.

“For stenoses above 50 percent, thedifference was 15 percent increasedvelocity in women compared to men,”explained Dr. Comerota, who is also aclinical professor of surgery at the Uni-versity of Michigan, Ann Arbor. “Thismeans that women naturally havehigher blood flow velocities in theircarotid arteries than men do, so weought to recognize this and revise ourdiagnostic standards. If we use thesame standards, we’ll be over-diagnos-ing disease in women. Many peopleundergo surgery based on the non-inva-sive test alone, so you can see howimportant this becomes.”

He added that at his clinic, theygenerally treat carotid disease when thecarotid duplex shows a 50-percentstenosis in symptomatic patients and an80-percent stenosis in asymptomaticpatients.

“It’s importantto realize that thediagnostic criteriawere established inpatient populationsin which womenwere underrepre-sented, such aspatients at the Vet-erans Administra-tion and in univer-sity hospitals withpredominantly malepopulations,” heexplained.

Some of thedifferences thathave been found inmen and womeninclude:• At any age, the risk for stroke is

greater in men than in women• At similar degrees of carotid stenosis,

the risk for stroke is higher in menthan in women

• After carotid endarterectomy, the riskfor stroke is higher in women withasymptomatic disease than in menwith asymptomatic disease

• After carotid endarterectomy, womenhave a higher incidence of carotidrestenosis than do men

Dr. Comerota said the data addeven further weight to the evidence thatnon-invasive velocity criteria should beadjusted in women to more accuratelyreflect the underlying disease and offera better fit with their risk for carotidatherosclerosis as well as the risks andbenefits of intervention.

Cautious Reaction from Interventional RadiologyBarry T. Katzen, M.D., an interven-tional radiologist who was the programdirector for ISET, said radiologistsshould be aware of the information butthe results need to be confirmed by aprospective study. “I think it would bepremature to start recalibrating ourduplex criteria before this study is con-firmed. It was a retrospective studywith different qualities of angiography

over a 10-year period, and the ability tocorrelate that with high-quality imagingis not the same as if you did a prospec-tive study today,” he said.

“When you see a woman withincreased velocities, you definitelywant to make sure she’s in a criticalcategory before you do anything,” saidDr. Katzen, the founder and medicaldirector of the Baptist Cardiac & Vas-cular Institute in Miami. “It’s probablynot reasonable to treat asymptomaticwomen in the 60 to 80 percent occlu-sion range, and it’s even more impera-tive that we wait until they get to thatcritical category of over 80 percent. Ido think there’s enough in all of thisthat we should increase the baseline onwhich we operate on asymptomaticwomen, but we need to be very cau-tious about raising the bar on whichwomen we treat.” ■■

Tight atherosclerotic stenosis imaged with 3D volume-rendered CT, 2D CT MIP image and digital subtractionangiography.

The Piccoli story was adapted from an articlethat appeared in the RSNA 2004 Daily Bulletin.

Continued from previous page

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9R S N A N E W SR S N A N E W S . O R G

IT CAME AS no great surprise to radiol-ogists, medical physicists and othermembers of the radiologic commu-

nity when, in late January, ionizingradiation was added to the Departmentof Health and Human Service’s (HHS)list of carcinogens.

The 11th Report on Carcinogens(RoC) added six substances under thecategory “known human carcinogens”and 11 under the category “reasonablyanticipated to be human carcinogens.”For the first time, the “known” listincludes viruses—hepatitis B virus, hep-atitis C virus and some human papillo-maviruses. It also includes x-radiation,gamma-radiation and neutrons. Leadand lead compounds, compounds foundin grilled meats, and a host of sub-stances used in textile dyes, paints andinks were added to the “reasonablyanticipated” list.

RSNA issued a press release withintwo hours of the report’s release clari-fying for the public thebenefits of medical x-rays. The Society alsosent an E-News Alertto members.

The RoC, a bien-nial report prepared forHHS by the NationalToxicology Program(NTP) at the NationalInstitute of Environ-mental Health Sci-ences, said x-radiationand gamma-radiation were listed“because human studies show thatexposure to these kinds of radiationcauses many types of cancer includingleukemia and cancers of the thyroid,breast and lung.”

The report added that exposure tox-radiation and gamma radiation has

been shown to cause cancer of the sali-vary glands, stomach, colon, bladder,ovaries, central nervous system andskin. It also stated that 55 percent ofworldwide exposure is from low-dosemedical diagnosis such as bone, chestand dental x-rays.

NTP Associate Director ChristopherPortier, Ph.D., said the decision to listionizing radiation as a carcinogen fol-

lows valid research.“We no longer relyon atom bomb sur-vivors for our dataon the effects ofionizing radiation,”he said. “There’s alot of mechanisticwork that has beendone. There havebeen follow-upstudies on animalsthat match what

we’ve seen in Hiroshima andNagasaki. There have also been a num-ber of studies since the early days of x-ray use for medical diagnosis thatlooked at radiologists and radiologictechnologists and their cancer riskfrom radiation exposure.”

While Dr. Portier wants the public

to be aware that ionizing radiation car-ries some risk, he said that the benefitsof medical care and intervention out-weigh those risks.

For decades, physicians and med-ical physicists have been concernedabout the risks of radiation exposure,said G. Donald Frey, Ph.D., a professorof radiology at the Medical Universityof South Carolina and immediate past-president of the American Associationof Physicists in Medicine, “The crucialthing for people to understand is that itwould be a tragedy if someone did nothave a medical imaging procedure thatmight save his or her life or alter thecourse of treatment solely because ofconcern over the effects of radiation.”

What Radiologists Can Do“First,” said Dr. Frey, “radiologistsshould be aware of the amount of radia-tion that is given for higher-dose proce-dures, such as CT, and then they shouldbe prepared to explain to the public thevalue of the procedures and what pro-tective measures they are taking.”

Donald P. Frush, M.D., chief ofpediatric radiology at Duke UniversityMedical Center, said radiologists also

Medical X-Rays Added to Government’s Carcinogen List

It would be a tragedy if some-

one did not have a medical

imaging procedure that might

save his or her life or alter the

course of treatment solely

because of concern over the

effects of radiation.

G. Donald Frey, Ph.D.

Continued on next page

FEATURE HOT TOPIC

Cour

tesy

of

the

Ura

nium

Inf

orm

atio

n Ce

ntre

Ltd

.

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10 R S N A N E W S M A R C H 2 0 0 5

need to be aware that the research datalinking cancer to low-levels of ionizingradiation—levels produced by themajority of medical procedures—are

debatable. “It reallycomes down to norisk versus potentialrisk,” he said.“Researchers aretrying to figure outif there’s a lineardose response withno threshold for thedevelopment ofcancer or if there isa threshold for thedevelopment ofcancer. In my opin-ion, and mostphysicians and sci-entists who arefamiliar with this

topic will agree, patient safety alwayscomes first and we are vigilant to avoidunnecessary radiation.”

Dr. Frush said it is important that

radiologists, through organizations suchas RSNA, do everything possible toinform the public about this topic anduse only the necessary amount of radia-tion for medical imaging.

“Radiologists, by virtue of ourtraining in physics, are really the gate-keepers with regard to optimal use ofthe technology,” he said. “We also havethe responsibility to educate otherphysicians—those who order the exam-inations—including emergency roomphysicians, pediatricians, surgeons,internists and cardiologists. They arenot always aware of the technical sideof examinations that utilize radiationand don’t always understand the poten-tial risks.”

The National Council on RadiationProtection and Measurements (NCRP)is taking the RoC in stride. NCRPExecutive Director David A. Schauer,Sc.D., said the report is consistent withthe radiation protection programsalready in place worldwide as repre-sented by the work of NCRP and theInternational Commission on Radiolog-

ical Protection.NCRP has been active in the areas

of radiation protection and measure-ments since its inception in 1929.“Overall, NCRP agrees with the assess-ment that ionizing radiation is a knowncarcinogen,” said Dr. Schauer. “How-ever, we feel that the medical uses ofradiation must be put into a benefit ver-sus risk context, while bearing in mindthat the patient voluntarily submits tothese medical procedures under con-ventional rules of informed consent.”

Dr. Frey recommends that patientsask questions, seek out accredited sitesand review the information on Radiolo-gyInfo.org, the patient education Website developed by RSNA and the Amer-ican College of Radiology that offersquick access to easy-to-understandinformation about radiology proceduresand treatments. It describes what toexpect, what the equipment is going tolook like, what a patient will feel, whatpreparations would be appropriate, whythe procedure is being done and whatrisks may be involved. ■■

Continued from previous page

for example, can make or break you,”he said. “Worklist creation in the paper-driven environment consists of some-one in the back room organizing astack of papers. In the paperless work-flow, this task has been given to the

radiologist when he or she choosesstudies from the worklist.”

A poorly designed worklist couldforce a radiologist to spend an inordi-nate amount of time hunting through allthe studies he or she is supposed toread. “This can lead to problems with

efficiency, because of longer dictationtimes; morale, because of frustratedradiologists; and patient care, becauseof unread, overlooked studies,” Dr.Mates concluded. ■■

This story was adapted from an article thatappeared in the RSNA 2004 Daily Bulletin.

Continued from page 6

Paperless Environment Improves Radiologist Efficiency

The Report on Carcinogensis available online at ntp-

server.niehs.nih.gov/index.cfm?objectid=BAEDD944-F1F6-975E-7A044FCBA50624E5.

RSNA’s press releasestressing the benefits of med-ical x-rays is available atwww2.rsna.org/pr/target.cfm?ID=236.

IHE Guides Development of Electronic Health Record System

vendor and the IHE Actors and Integra-tion Profiles their systems successfullyperformed.

Next Steps for IHE While this year’s Connectathon repre-sents a 20 percent growth from the pre-vious event held in late 2003, partici-pants in the 2006 event can expect topush their systems even farther. “Eachyear additional capabilities are tested,

and the process moves incrementally.We create new integration profiles, newinterpretations of standards to addressspecific clinical needs,” said Carr.

Sharing of health information in theacute care and ambulatory environ-ments was featured at the HIMSSannual conference last month in Dallas.This month, IHE will be demonstratedat the American College of Cardiologyannual meeting in Orlando. Thedemonstration will target clinical cardi-

ologists, cardiology administrators andinformation services staff. For many, itwill be their first exposure to IHE.

Meanwhile, Dr. Brailer used someof the information presented to himfrom IHE and the other health andinformation groups during the annualWorld Health Care Congress in lateJanuary. He served as a panelist along-side international healthcare experts inthe session titled, “In Pursuit of theElectronic Medical Record.” ■■

Continued from page 5

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11R S N A N E W SR S N A N E W S . O R G

RESEARCHERS can now predict asmoker’s chance for developinglung cancer based on age, how

much has been smoked and when thesmoker quit.

The International Early Lung Can-cer Action Project (I-ELCAP) is thelargest study of its kind showing annualCT screenings can identify a high per-centage of Stage I lung cancer in habit-ual and social smokers.

“The mission of the research is toadvance policy-relevant research onearly diagnosis of lung cancer,”explained principal investigator ClaudiaI. Henschke, Ph.D., M.D., during a sci-entific paper session at RSNA 2004.“Data were pooled across 33 interna-tional institutions using the same regi-men of screening. Since 1993, 27,701men and women have undergone CTscreenings to evaluate the usefulness ofCT as a diagnostic tooland to foster translationof up-to-date evidence forguidelines for practice.”

Annual CT screen-ings have been shown toidentify a high percentageof Stage I diagnoses oflung cancer in its mostcurable form. “Our studyfound that deaths fromStage I lung cancer weresurprisingly low after sur-gery, but only if treatment is pursuedquickly,” said Dr. Henschke, a profes-sor of radiology and division chief ofchest imaging at New YorkHospital/Cornell Medical Center inNew York City.

Calling the study a diagnostic-prog-nostic trial in which everyone isscreened initially, she added, “This isthe first time we are reporting our prog-

nostic mission for estimated cure ratesof screen-diagnosed resected lung can-cers without lymph node metastasis inthis pool cohort.”

The results showed less than 15percent had a positive result for lungcancer in the initial or baseline screen-ing. Less than six percent required fur-ther work-up following the annualrepeat screening. Of those with a posi-tive screening in either baseline orrepeat, more than 80 percent were diag-nosed in Stage I.

When it comes to translating theresearch into guidelines for practice,Dr. Henschke said it is important totreat each case individually. “When youare meeting a patient who wants to bescreened, you can answer his or herquestions based on the likelihood offinding cancer in that round of screen-ing, the likelihood that early interven-

tion would curethe cancer and thelikelihood ofavoiding death byanother cause,”she said.

I-ELCAPshowed for thosebetween 40 and49, for every1,000 peoplescreened, you willfind two cases of

lung cancer averaged over all packyears. The number of cases increased to15 for every 1,000 for people aged 50to 74 years and 28 out of every 1,000for those over 75.

The number of smokers developinglung cancer also increased by the totalnumber of cigarettes smoked: 28 smok-ers out of every 1,000 were diagnosedwith lung cancer if they smoked three

packs a day for 20 years or more. Fif-teen smokers per 1,000 developed lungcancer among those smoking threepacks a day for 10 to 20 years.

Lung cancer remains the majorcause of cancer death in women andmen, killing more people than breast,prostate and colon cancers combined,according to the American CancerSociety.

Future of I-ELCAPDr. Henschke said I-ELCAP researcherswill continue to update the regimen ofscreening in accordance with advancesin knowledge and technology. They willfollow the screen-diagnosed cases oflung cancer to establish the fatality ratewith and without early intervention.They will also develop guidelines forpost-primary lung cancer screening andparticipate in the assessment of alterna-tive treatments for early screen-diag-nosed lung cancers. ■■

CT Screenings Predict Smoker’sLung Cancer Risk

FEATURE SCIENCE

This is the first time we are

reporting our prognostic

mission for estimated cure

rates of screen-diagnosed

resected lung cancers

without lymph node

metastasis in this pool cohort.

Claudia I. Henschke, Ph.D., M.D.

This story was adapted from an article thatappeared in the RSNA 2004 Daily Bulletin.

Claudia I. Henschke, Ph.D., M.D.New York Hospital/Cornell Medical Center

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12 R S N A N E W S M A R C H 2 0 0 5

Taking Care of Your Financial HealthEstate Planning for Physicians

Legal Documents Provide Peace of MindAbout 70 percent of the people who dieeach year in the United States do nothave a will, according to Alan L. Cates,J.D. Some of the deceased have otherlegal means for passing on property,such as joint tenancy, but many do not.

“They just didn’t think about thefinancial futures of their loved ones orthey kept putting it off until it was toolate,” said Cates, the 2004 president ofthe Chattanooga Bar Associa-tion and a shareholder with thefirm of Shumacker, Witt,Gaither & Whitaker in Chat-tanooga, Tenn.

“If someone is satisfied withthe laws governing the disposi-tion of assets in his or her state,a will is not needed,” he said.“However, a will lets your heirsknow exactly how you want your assetsdivided, who should receive your assetsand when they should receive them.”This important legal document can alsoreduce court costs and other expenses.

What is a Will?A will is simply a set of operatinginstructions upon death. It directs the

transfer of assets and sets the stage forprobate. Probate is the process bywhich assets are collected, bills arepaid and property is divided amongheirs.

“When there is no contractualarrangement, such as joint tenancy fora home or a beneficiary designation inan insurance policy or pension, then thewill directs the transfer of the assets,”said Brian T. Whitlock, J.D., C.P.A.,

partner-in-charge of the Wealth Trans-fer Service Group at Blackman,Kallick, Bartlestein, L.L.P., in Chicago.He is also the chairman of the IllinoisC.P.A. Society.

“Frequently, people read about the‘evils of probate.’ It can be an expen-sive process, particularly in some juris-dictions,” he explained. “However, pro-

bate is a necessary process for young,active medical professionals becausethey are frequently signing agreementsand contracts. They can take advantageof the probate process in order to limitthe claims of potential creditors.”

The Probate ProcessWhitlock said a will must be presentedto the local probate court to make sureit meets the statutory requirements of

the state. Several questionsare raised:• Is it a valid will?• Does the will name an

executor? • Does that executor need to

pay a bond or has thedeceased waived that rightin the will?

The executor then pub-lishes a notice in the county where thedeceased lived calling on creditors tocome forward within a four- to six-month period if they have any claimsagainst the estate. For example, aphysician who ordered supplies beforehis or her death may not have paid forthem. This is the time for any unpaidbills to be paid. After the four- to six-

Probate is a necessary process for young, active

medical professionals because they are frequently

signing agreements and contracts. They can

take advantage of the probate process in order

to limit the claims of potential creditors.

Brian T. Whitlock, J.D., C.P.A.

FEATURE ESTATE PLANNING SERIES

THIS SECOND PART of a three-part series on estate planning focuses on howwills and trusts benefit you, your loved ones and the work of charitableorganizations you support.

PART 2 OF 3

WillA will provides for the distri-bution of property owned byyou at the time of your deathin any manner you choose,subject to the forced heirshiplaws of some states.

IntestateIf you die intestate (withouta will), your state’s laws ofdescent and distribution willdetermine who receives yourproperty by default.

TrustThe term trust describes the holding ofproperty by a trustee (one or more personsor a corporate trust company or bank) inaccordance with the provisions of a writtentrust instrument. A person may be both atrustee and a beneficiary of the same trust.

Testamentary TrustA trust created by yourwill is called a testamen-tary trust and the trustprovisions are containedin your will. Source: American Bar Association

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month period, no financial claims canbe made against the estate.

These limits also apply to potentialmalpractice claims. “Probate providescertainty and limitation of claims.That’s one of the most positive aspectsof probate,” Whitlock said.

What is a Trust?A trust is a contractual arrangement forthe holding and disposition of assets.Unlike a will, which takes effect upondeath, a trust takes effect as soon as anasset is registered in the trust.

A trust can manage assets duringlifetime due to incapacity or the inabil-ity to manage assets, such as for chil-dren who lose their parents. Trusts canlast for many years beyond the life ofthe person who created it, even overmultiple generations.

“A trust can provide protectionfrom creditors,” said Whitlock. “Forexample, when a physician’s spousedies, the spouse leaves his or her assetsto the physician. If the spouse had theassets in a trust for the physician andtheir children, the assets would be pro-tected from the physician’s creditors.”

Whitlock added that physicians canset up trusts for their children to protectfamily assets from the claims of legalcreditors, malpractice suits and evenfrom the children’s spouses in the eventof divorce.

Trusts can also organize the processto create estate tax savings. “The trustcreator sets the rules,” said Whitlock.“You can decide how narrow or broadto organize your financial wishes.”

Another advantage to a trust is thatit is a private document. While a will isa public document filed in county courtand open to view, a trust is private.Whitlock said the only time it couldpossibly be made public is in the eventof a legal dispute where the beneficiar-ies of the trust might take the trustee tocourt in order to argue over the tears ormanagement of the trust.

When choosing a trustee, Whitlocksaid consider a bank. “You don’t needto have a professional trustee. Most

people are more comfortable with afamily member. However, banks arevery good at this and have a lot ofexperience,” he said.

Charitable DonationsIf someone dies without a will (intes-tate), the state essentially writes a willfor you and givesyour assets to theclosest living rela-tives. Assets go firstto a spouse, then tochildren, grandchil-dren and other rela-tives. Court costswill eat up a lot ofthose assets.

What if youwanted to leavemoney to a favoritecharity? “There areno adequate provi-sions in state laws addressing a per-son’s thoughts about charitable contri-butions. A will specifies your inten-tions,” Cates explained.

There are many ways to leave giftsto charity while first providing for thefinancial needs of your family. You can designate:• Specific amount to be transferred to

one or more charities• Specific percentage of your estate

• Amount left over after other gifts tofamily and friends have been made

“You can support the financialneeds of your family and still help sup-port a charitable organization that wasimportant to you in your lifetime,” saidDeborah Kroll, managing director offund development for the RSNA

Research & EducationFoundation.

Along with a will,Kroll suggested settingup a living trust to helpaccomplish estate plan-ning objectives. “Spe-cial trusts can be used tohelp reduce or eliminatestate and federal taxeson capital gains,” saidKroll. “The assets youcan designate includecash, personal property,stocks, bonds, retire-

ment plans, life insurance, livestock,real estate and a family business.”

Consult with an attorney or profes-sional tax advisor for more informationon wills and trusts.

For more information about con-tributing to the Foundation, contactKroll at (630) 368-3742 or [email protected]. ■■

13R S N A N E W SR S N A N E W S . O R G

Next month: Insurance and Planned Giving

Estate Donations to the RSNA R&E FoundationEighteen members have notifiedRSNA that the R&E Foundation is included in their estate plans.The donations total more than$3.3 million. Another memberhas designated the Foundation to receive 30 percent of theirresidual estate.

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14 R S N A N E W S M A R C H 2 0 0 5

THE Synapse® Multimodality BreastImaging Workstation configuration,

by FUJIFILM Medical Systems(www.fujimed.com), is now available inthe United States.

Designed for any facility perform-ing full-field digital mammography(FFDM) and other modalities such asbreast MR or ultrasound, the worksta-tion provides all the functionality ofFuji’s innovative Synapse PACS to addconsistency and efficiency to the inter-

pretation of breast imaging studies. Unlike other dedicated FFDM diag-

nostic stations for mammographyimages, the Synapse workstation con-figuration can be used as a full-featureddiagnostic workstation for any imagingexam, thereby providing additionalworkflow improvements.

“Synapse is cleared for the viewingof FFDM, our DryPix™ line of dry laserimagers are cleared for printing FFDM,and now we have the multimodality

workstation configuration for diagno-sis,” said Andrew Vandergrift, Fuji’snational program manager for women’shealthcare imaging.

Product News

Information for Product News came from the manufacturers. Inclusion in this publication should not be construed as a productendorsement by RSNA. To submit product news, send your information and a non-returnable color photo to RSNA News, 820 Jorie

Blvd., Oak Brook, IL 60523 or by e-mail to [email protected]. Information may be edited for purposes of clarity and space.

NEW PRODUCT

Laptop Tray Attachmentfor Angle ChairHealthPostures (www.healthpostures.com) has taken another stepinto the “Reading Room of the Future”

by adding a laptoptray attachment toits Stance® anglechair.

In collaborationwith GE Healthcare,HealthPosturesdemonstrated thechair at RSNA 2004in the infoRADshowcase exhibit.

Radiologistssometimes sit in onestatic position for 12hours a day. The

angle chair allows radiologists to movefreely—from neutral sitting, to kneeling,to reclined sitting. Improved ergonomicscan help decrease repetitive stress disor-der while increasing accuracy, produc-tivity and job satisfaction.

NEW PRODUCT

Speech RecognitionSolution Crescendo (www.crescendo.com)of Canada has released itsCrescendo Speech Processingsolution for radiology. The solu-tion, powered by SpeechMagic™

from Philips, includes a profes-sional recognition vocabulary forradiology terminology.

Crescendo Speech Processingis a background netware compo-nent that works during the dicta-tion process.

“Radiology is typically themost dictation-intensive depart-ment in a hospital,” said CostaMandilaras, president ofCrescendo Systems Corporation.“Radiologists can keep dictatingthe way they are used to, usingtheir preferred input device,while the SpeechMagic voicerecognition system automaticallyadapts to their specific dictationcharacteristics and is constantlyoptimized through repeated use.”

NEW PRODUCT

Multimodality Breast Imaging Workstation

RADIOLOGY PRODUCTS

NEW PRODUCT

Wipe Test Fixture forAdvanced Survey Meter Cardinal Health, Inc. (www.cardinalhealth.com) has announced the availabilityof a wipe test fixture for its Victoreen®

Advanced Survey Meter ASM 990 Series.The wipe test fixture enables the ASM 990to detectremovableradioactivecontamination(wipe testing).

“TheASM 990Series WipeTest Fixture… not onlyconducts surveys, manages survey dataand interfaces with software, but now alsofunctions as an efficient wipe test counter,”said Jim Prout, sales manager for the radi-ation safety product line.

He added that the product can alsomore accurately measure Tc-99m than aGeiger-Mueller pancake probe and can becalibrated to various other isotopes,expanding its role as a wipe test counter.

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B O O KGamuts & Pearls Ortho MRIStephen J. Pomeranz, MD

The third edition of StephenPomeranz’s Gamuts text Ortho vol-ume, completed with contributionsfrom Timothy Jenkins, Judge King,Mark Paluszny and Eric Shields, con-siderably expands on the orthopedicportion of the second edition andincludes many more lists and dia-grams, as well as a complete index.Subdivided into shoulder, elbow, hand& wrist, hip & thigh, knee, foot &ankle, musculoskeletal system andprotocols & predicaments chapters,there is a wealth of information herefor the busy imager at an extremelyaffordable price. You’ll want this vol-ume readily at hand on your refer-ence shelf! 396 pp.RSNA Member Price $85.50

B O O KGamuts & Pearls Neuro MRIStephen J. Pomeranz, MD and Peter J. Smith

The third edition of StephenPomeranz’s Gamuts text Neuro vol-ume was undertaken with PeterSmith. Several lists, diagrams and afull index are just a few highlights tothis new addition. Subdivided intobrain, spine, head & neck and proto-cols & predicaments chapters, thereis a wealth of information here for thebusy imager at an extremely afford-able price. You’ll want this volumereadily at hand on your referenceshelf! 396 pp.RSNA Member Price $85.50

B O O KThe Pocket ArrhythmiaConsultantTheodore Chow, MD

New! The Pocket Arrhythmia Con-sultant provides an overview of themanagement of cardiac arrhythmias.This 192-page book is designed to bea resource for internists, general car-diologists and students. Written by a

clinical electrophysiologist, this bookprovides more detailed coverage ofarrhythmia topics than found in inter-nal medicine texts, but focuses moredirectly on the practical aspects ofpatient management than compre-hensive electrophysiology textbooks.Therefore, this book fills a voidbetween the two extremes, whichshould be useful for the non-cardiacarrhythmia specialist who cares forpatients with arrhythmias. 192 pp. RSNA Member Price $36.00

B O O KTeleradiology Step by StepJohn P. Mulloy, MD

This inclusive text written by John PMulloy and edited by Stephen JPomeranz with contributions by JohnCarrino, does what many thoughtundoable—encapsulates the history,development and current state of theart of teleradiology. A wealth of dia-grams, tables and figures enhancethe author’s easy-to-read style andallow you insight into this confusingand often excessively complex sub-ject. Included are a full index, a list ofthose bizarre acronyms and even cur-rent ACR standards and legal andfinancial issues. 278 pp.RSNA Member Price $67.50

B O O KPitfalls and VariationsStephen J. Pomeranz, MD

A best-seller! The majority of thematerial for this text was carefullyselected from more that 5,000teaching file cases and from everydaypractice (including a large number ofreferrals). The cases are arranged pri-marily on an anatomic basis by loca-tion. Diagrams and summaries areincluded with certain cases to empha-size key points. 595pp. RSNA Member Price $148.50

B O O KMRI of the Foot & Ankle: Pearls, Pitfalls & PathologyRichard J. Rolfes, MD, Stephen J.Pomeranz, MD, and Tae W. Kim, MD

Experts Richard J. Rolfes, MD,Stephen J. Pomeranz, MD and Tae W.Kim, MD, have collaborated onselecting hundreds of case-appropri-ate captioned images. This compre-hensive reference is a clinically valu-able text for any clinician who workswith advanced foot and ankle imaging

as a diagnostic tool or academicresource. This 200+page text is bro-ken down into chapters on ligaments,tendons, fractures, arthropathy, coali-tions, osteochondral defects,osteonecrosis, impingement, tarsaltunnel and neural entrapment,achilles, masses, infections, plantarfasciitis and parts & accessories. Fullyindexed for ease of use, the hardcover volume is built to assist readilyin daily practice and study of thiscomplex and often difficult area.200+ pp.RSNA Member Price $112.50

D V D , V H S , C D - R O MConference Series 23 Lecture SetStephen J. Pomeranz, MD and JohnReeder, MD

This highly educational series of thediagnostic and therapeutic aspects oforthopedic care combined with MRI.The video recorded lectures bring youdirectly into our state-of-the-art the-ater for a comprehensive review bythe world-renowned authors in radiol-ogy, Dr. Stephen Pomeranz and Dr.John Reeder.RSNA Member Price $2430.00

B O O KMagnetic Resonance ImagingPerry Sprawls, PhD

This book first develops the veryimportant concepts of the physicalprinciples on which MR imaging isbased and then builds an understand-ing of the various methods and tech-niques that are at the heart of eachimaging procedure. Special emphasisplaced on image quality and safetyconcerns. Learn to obtain maximumperformance and benefit from thesophisticated MR technology that isavailable today. RSNA Member Price $54.00

RSNA Publisher PartnersMembership Book Discount Program■ The following publishers are pleased to offer discounts of at least 10 percent to RSNAmembers on the purchase of popular medical books and products. Specific discountsand direction on obtaining the discount are indicated in the Publisher Partners section of RSNA.org

The product descriptions have been submitted by the publishers.

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R S N A P u b l i s h e r P a r t n e r s

Oxford University Press■ 2001 Evans Rd.

Cary, NC 27513(800) 451-7556www.oup-usa.org

B O O KBone Dysplasias An Atlas of Genetic Disorders ofSkeletal Development Second Edition Jurgen W. Spranger, Paula W. Brill andAndrew K. Poznanski

Many advances have been made inunderstanding skeletal dysplasiassince the first edition of this classictext appeared in 1974. The secondedition has been completely reno-vated, with the help of two new co-authors, to incorporate theseadvances. The book’s format is simi-lar to the original but the number ofconditions covered has almost dou-bled and molecular information hasbeen added wherever available. Thenumber of figures has been increasedto the limit of economic wisdom. Asin the first edition, the illustrationshave been selected and sequenced toillustrate both the degree of variabilityof a given disorder and its changswith age.

This book is designed for physiciansinvolved in the evaluation and treat-ment of patients with skeletal dys-plasias, including radiologists. Itsmain goal is to assist in the diagnosisof specific conditions and the care ofaffected individuals. Though muta-tions of specific genes can producedysplasias with very different pheno-types and prognoses, the primarilyclinical aim of this book dictated aphenotypic classification in general,with compromises on etiologicgrounds where necessary. Hardback, 632 pp., 2002 RSNA Member Price $131.25

Radiology BusinessManagement Association■ 8001 Irvine Center Dr.

Suite 1060Irvine, CA 92618(888) 224-7262www.rbma.org

N E W S L E T T E RThe RBMA Bulletin

Your premier resource when itcomes to radiology education. TheRBMA Bulletin includes featured sto-ries written by industry professionalsas well as pertinent articles on prac-tice management, compliance issuesand legislation, HIPAA and ACRupdates. You will also find up-to-date

information on RBMA educationalseminars, conferences, networkingopportunities and products. Publishedsix times per year.RSNA Member Price $90.00

B O O KThe HIPAA Workbook for Privacyand Security

The HIPAA Workbook for Privacy andSecurity: A Radiology Guide to Imple-mentation of the Health InsurancePortability and Accountability Act is aradiology-specific guide to implement-ing the HIPAA Privacy and SecurityStandards that includes sample poli-cies and procedures, consent andauthorization forms, sample business associate and chain of trust agree-ments, planning and implementationguidelines, and much more.RSNA Member Price $995.00

B O O KHIPAA Security Regulations

A standalone companion piece forThe HIPAA Workbook for Privacy andSecurity focusing on developing poli-cies and procedures for implementingthe requirements of the HIPAA Secu-rity Regulations.RSNA Member Price $100.00

B O O K & C D - R O MImaging Center Policy andProcedure Manual

An all-new reference guide for free-standing diagnostic imaging centers.Includes personnel policies, dailyoperational policies and procedures,scheduling, basic billing and specificradiology policies and procedures aswell as sample requisition and con-sent forms. Also includes accompany-ing CD containing forms to manipu-late and customize for your office.RSNA Member Price $695.00

Society of Nuclear Medicine■ 1850 Samuel Morse Dr.

Reston, VA 20190(703) 326-1186www.snm.org

RSNA members call (800) 513-6853or (703) 326-1186 and mentioncoupon #136479 to receive a 10%discount on these books.

B O O KReview of Nuclear MedicineTechnologyAnn M. Steves, MS, CNMT, FSNMTS andPatricia C. Wells, MAE, CNMT

The Review of Nuclear MedicineTechnology and its companion book,Preparation for Examinations inNuclear Medicine Technology, havebeen helping nuclear medicine tech-nology students prepare for nationalcertification examinations for 12years. Now these two books havebeen newly updated and combinedinto one invaluable reference.A detailed overview of nuclear medi-

cine technology—updated andexpanded to cover patient care,instrumentation, nuclear oncology,electrocardiography, interventionaldrugs and new therapeutic agents—is complemented by hundreds of self-evaluation questions and answersmirroring the structure of national certification examinations. A provenperformance booster! Softcover, 252 pp., 2004RSNA Member Price $62.10

B O O KClinical Practice of MolecularRadiotherapy

Published in January 2005, theClinical Practice of Molecular Radio-therapy supplement offers a collectionof reviews on targeted radionuclidetherapy, providing a snapshot of thecurrent status of modern clinicalapplications of therapeutic nuclearmedicine. Earn CME, VOICE, and CPEcredit(s) by reading and taking theexams for selected articles. CE creditexams are available online atwww.snm.org/ce_online.

The supplement, edited by StevenM. Larson, M.D., and Eric P. Krenning,M.D., Ph.D., includes:• A fundamental summary of sug-gested patterns of practice for com-mon radionuclide therapies.• A forecast of near-term opportuni-ties likely to determine practice in thenext few years. Softcover, 206 pp.,2005RSNA Member Price $48.60

B O O KNuclear Cardiac Imaging:Terminology and TechnicalAspectsElpida S. Crawford, MS, CNMT and Syed Sajid Husain, MD, MS, MAS

This newly released book is an edu-cational resource for those learningnuclear cardiology or a reference toolfor clinicians who have already incor-porated nuclear cardiology into theirpractices. This authoritative book is amust-have technical resource thatfocuses on the basic principles andtechnical aspects of all nuclear car-diac imaging studies, including normaland abnormal scan patterns. Soft-cover, 130 pp., 2003RSNA Member Price $72.00

B O O KPET/CT: Imaging Function and Structure

Published in January 2004, thisstate-of-the-science overview of thenew field of positron emission tomog-raphy fused with computed tomogra-phy (PET/CT) features current informa-tion from the experts. Earn up to 10category 1 CME credit hours by read-ing and taking the test for each articleat www.snm.org/education/ce_online.html. Softcover, 103 pp., 2004RSNA Member Price $45.00

B O O KA Clinician’s Guide to NuclearMedicineAndrew Taylor, MD, David M. Schuster, MD,and Naomi Alazraki, MD

This book builds on and expandsthe basic concepts found in Funda-mentals of Nuclear Medicine. Thisintroduction to the diagnostic andtherapeutic uses of nuclear medicineprocedures is a must have for clini-cians, residents, interns, medical students and referring physicians. Itreviews nuclear medicine procedures,available alternatives, advantages andlimitations of each, and providespatient information to aid in preparingpatients. Softcover, 410 pp., 2000RSNA Member Price $40.50

B O O KA Tabulated Summary of the FDG PET LiteratureSanjiv S. Gambhir, MD, PhD, JohannesCzernin, MD, Judy Schwimmer, MBA, MA,Daniel H.S. Silverman, MD, PhD, R.Edward Coleman, MD, and Michael E.Phelps, PhD

This supplement to The Journal ofNuclear Medicine provides a compre-hensive literature review of the use ofFDG PET in oncology, cardiology, andneurology. This supplement hasproven useful for health careproviders, administrators, and healtheconomists who wish to better under-stand the role of FDG PET in themedical management of patients.Softcover, 93 pp., 2001RSNA Member Price $13.50

B O O KSelf-Study Program III: Nuclear Medicine CardiologySeries Editor: Elias H. Botvinick, MD

Whether you’re a nuclear medicineresident preparing for your boardexams or a veteran clinician, theNuclear Medicine Self-Study ProgramSeries in Nuclear Medicine Cardiologywill meet your self-assessment needs.Each book includes an extensive listof annotated references, questionsand answers with critiques, along withan authoritative syllabus review of thetopic.Topic 1: Physical and Technical Aspectsof Nuclear CardiologySoftcover, 95 pp., 1997RSNA Member Price $31.50Topic 2: Pharmacologic StressSoftcover, 195 pp., 1998RSNA Member Price $56.70Topic 3: Cardiac PET Imaging and Topic 4: Radionuclide Assessment ofCongenital Heart DiseaseSoftcover, 127 pp., 1998RSNA Member Price $44.10Topic 5: Myocardial Perfusion Scintigra-phy—Technical AspectsSoftcover, 218 pp., 2001RSNA Member Price $107.10Topic 6: Myocardial Perfusion Scintigra-phy—Clinical AspectsSoftcover, 396 pp., 2001RSNA Member Price $163.80

B O O KSelf-Study Program IV: OncologySeries Editor: Thomas P. Haynie, MD

This new anthological volumedemonstrates the interplay of nuclearmedicine with oncology and the pro-

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gression of the field in the last eightyears. Each topic is presented in aconsistent format: educational mate-rial, annotated reference list, multiple-choice test and answers—with expla-nations—to the test questions. Quali-fies for Category 1 continuingeducation credit. Softcover, 416 pp.,2004RSNA Member Price $56.70

B O O KGuide for Diagnostic NuclearMedicine and Radiopharma-ceutical TherapyJeffry Siegel, PhD

Combination reference manual fornuclear medicine professional whowant to bring their departments andinstitutions into compliance with therecently revised requirements of 10CFR Part 35. This guide surveys theNuclear Regulatory Commission(NRC) regulations and radiation pro-tection policies applicable to diagnos-tic and therapy nuclear medicine andincludes interpretations and specific,step-by-step measures that practition-ers may use to facilitate implementa-tion and ongoing compliance. Softcover, 110 pp., 2004RSNA Member Price $49.50

C D - R O MBasic Science Module

The Basic Science Module CD-ROM offers 22 hours of educationtoward the requirement mandated bythe Nuclear Regulatory Commissionfor program requirements for resi-dency education in nuclear medicine.This training module covers the basicscience associated with the field ofnuclear medicine including radiationscience, radiation detection andinstrumentation, the operation of thegamma camera, emission tomogra-phy, radiochemistry and radiophar-macy, radiation biology and radiationsafety. RSNA Member Price $17.95

Technology ExchangeLtd.■ Suite 1102

Fo Tan Industrial Center26-28 Au Pui Wan StreetFo Tan, Shatin, Hong Kong

Order online at: app.tech-ex.com/share/RSNASubform2003E.pdf

J O U R N A LInternational Medical Devices(IMD)

International Medical Devices (IMD)furnishes China’s healthcare field withvital information on the latest devel-opments in this vibrant industry. IMDis distributed to general and militaryhospitals across China. It is supportedby the Department of PharmaceuticalAdministration of State Economic andTrade Commission and the Bureau ofDrugs and Medical Instruments of

Health Department of General Logis-tics Department of the PLA, etc. (12 issues)RSNA Member Price $58.80

Medical Physics Publishing (Distributor of AAPM Books andReports)■ 4513 Vernon Blvd.

Madison, WI 53705-4964(800) 442-5778 or (608) 262-4021Order online at www.medicalphysics.org

B O O K & C D - R O MIntensity-Modulated RadiationTherapy: The State of the ArtJatinder Palta and T. Rockwell Mackie, eds.

Presents a snapshot of the currentIMRT planning and delivery technol-ogy. Discusses issues that confrontsafe implementation of IMRT andencourages reflection on its future. A "handbook" that will aid both experi-enced radiation oncology physicistsand newcomers to the field. RSNA Member Price $80.00

B O O KThe Expanding Role of MedicalPhysics in Diagnostic ImagingG. Donald Frey and Perry Sprawls, eds.

Provides a broad-based review ofthe status of radiographic and fluoro-scopic imaging and emphasizes theexpanding functions that medicalphysicists are providing in the transi-tion from the traditional imaging envi-ronment to the fully digital imagingenvironment. 583 pp. RSNA Member Price $60.00

B O O KPractical Digital Imaging and PACSAnthony Seibert, Larry Filipow andKatherine Andriole, eds.

Emphasizes the new advances inimaging technology, covering all of theinherently digital imaging modalitiessuch as computed radiography, CT,MRI, ultrasound and nuclear medi-cine. 577 pp. RSNA Member Price $50.00

B O O KGeneral Practice of RadiationOncology Physics in the 21stCenturyAlmon Shiu and David Mellenberg, eds.

Includes specifications, performanceexpectations, quality-assurance test-ing, works-in-progress/ futures andgeneral philosophies and is designedto enable readers to begin the imple-mentation of these technologies attheir facilities. 368 pp. RSNA Member Price $60.00

B O O KAccreditation Programs and theMedical PhysicistRobert Dixon, Priscilla Butler and Wlad Sobol, eds.

Provides a broad overview of theaccreditation programs currently avail-able, as well as some programs indevelopment. Illustrates the physicalprinciples related to an image andwhat is required to provide acceptableimages. 364 pp.RSNA Member Price $65.00

B O O KIntravascular Brachytherapy /Fluoroscopically GuidedInterventionsStephen Butler, Rosanna Chan, ThomasShope, eds.

Explores the techniques involved inthe use of fluoroscopic guidance inminimally invasive therapeutic proce-dures, using intravascular brachyther-apy as an example of such a proce-dure. 930 pp.RSNA Member Price $95.00

B O O KBiological & Physical Basis ofIMRT & TomotherapyBhudatt Paliwal, et. al., eds.

Presents the current status of thebiological, physical/technical and clinical aspects of volume effects ontime, dose and fractionation schemesfor radiation treatment of cancerpatients and the several parametricmodels (Both explanatory and predic-tive) of the effects thereof, withregard to optimization of treatmentplanning. 390 pp.RSNA Member Price $80.00

B O O KRecent Developments inAccurate Radiation DosimetryJan Seuntjens and Paul Mobit, eds.

The dramatic advances inabsorbed-dose-to-water standardsand in Monte Carlo ion chamberresponse calculations that havebeen made in the last 10 years andtheir application in accurate radia-tion dosimetry are summarized. 365 pp.RSNA Member Price $70.00

B O O KClinical Ultrasound Physics:Workbook for Physicists,Residents, and StudentsJames Kofler Jr., et. al.

An instructor’s manual to assistphysicists in teaching ultrasoundphysics concepts to non-physics per-sonnel (residents, sonographers,graduate students, etc.) 85 pp.RSNA Member Price $40.00

B O O KNuclear MedicineInstrumentation LaboratoryExercises for RadiologyResidency TrainingR.J. Van Tuinen, et. al.

These exercises provide residentswith insight into each instrument, itscapabilities and limitations and thevalue of quality control testing. 88 pp.RSNA Member Price $30.00

B O O KWorkbook on Dosimetry andTreatment Planning for RadiationOncology ResidentsR.K. Wu, et. al.

Provides a guide for second andthird-year residents in radiation oncol-ogy for their one-month physics anddosimetry training. 32 pp.RSNA Member Price $6.00

B O O KSpecifications, PerformanceEvaluation and QualityAssurance of Radiographic andFluoroscopic Systems in theDigital EraLee Goldman and Michael Yester, eds

Reviews the state-of-the-art of radi-ographic and fluoroscopic systems,the principles of image quality analy-sis, the technology and digital recep-tors, and techniques available to evaluate and maintain the clinicalperformance of these systems. 300 pp.RSNA Member Price $65.00

Matthews MedicalBooks■ 11559 Rock Island Ct.

Maryland Heights, MO 63043(800) MED-BOOK (633-2665)Fax (800) 421-8816www.matthewsstores.com

B O O KPACS and Image Informatics:Basic Principles and ApplicationsH. K. Huang

This second edition addresses thelatest in picture archiving and com-munication systems (PACS), from theelectronic patient record to the fullrange of topics in digital imaging. Incontrast to the previous edition, thisupdated text uses the framework ofimage informatics, not physics orengineering principles, to explainPACS. This book is the only resourcethat thoroughly covers the criticalissues of hardware/software designand implementation in a systematicand easily comprehensible manner.Hardcover, 649 pp., 2004RSNA Member Price $116.10

B O O KReeder and Felson’s Gamuts inRadiology: Comprehensive Listsof Roentgen DifferentialDiagnosisMaurice Reeder

Since 1975, radiologists the worldover have used Reeder and Felson’sGamuts in Radiology to ensure thatevery diagnostic possibility is consid-ered. For the Fourth Edition, Dr. Mau-rice M. Reeder has assembled an all-new board of section editors whohave completely revised and updatedtheir respective sections. These edi-tors are among the world’s authorities

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PLEASE NOTE: RSNA merely facilitates communication between its members and publishers participating in the program. RSNA has not reviewed and does not recommendor endorse the content of any materials offered for sale by those publishers. RSNA does not participate in any way in the sale of those materials by the publishers. There-fore, RSNA disclaims any responsibility for the content or use of any materials purchased through the Publisher Partners program.

R S N A P u b l i s h e r P a r t n e r s

in their respective specialties, andthey have given this classic the mostcomplete revamping it has ever had.New features in the fourth editioninclude: Over 250 new gamuts in theareas of ultrasound, magnetic reso-nance body imaging, and head andneck imaging; More than 80 percentof the previously existing gamuts havebeen updated, and an entire newsection on obstetrical ultrasound hasbeen added. Hardcover, 998 pp.,2003RSNA Member Price $116.10

B O O KPET: Molecular Imaging and Its Biological ApplicationsMichael E. Phelps

This book is a comprehensive guideto PET and PET CT and serves as avaluable resource for practicing physi-cians and residents. The text coverstopics ranging from the basic princi-ples of physics, molecular assays,preparation of molecular imagingprobes, and biochemistry relevant forPET. Hardcover, 621 pp., 2004RSNA Member Price $152.10

B O O K & C D - R O MAtlas of Ultrasound in Obstetricsand Gynecology. Peter M. Doubilet

This four-color atlas, with accompa-nying CD-ROM, depicts key elementsof sonography, including its dynamicreal-time aspect. Intended to comple-ment existing textbooks in the field,the atlas serves as a tutorial for theuse of ultrasound in both normal andabnormal OB/GYN imaging. The CD-ROM offers realtime video, interven-tional procedures, a complete reviewof OB/GYN, and more. The book canbe used as a clinical reference, whileusers can go to the CD-ROM to seehow procedures are performed andhow scans appear in actual, day-to-day practice. Hardcover, 352 pp.,2003RSNA Member Price $144.00

B O O KAunt Minnie’s Atlas and ImagingSpecific-DiagnosisThomas L. Pope

Atlas is an excellent study tool forthe oral radiology board examination.It features over 600 images and over250 cases representing “Aunt Min-nies”—diseases with unique radi-ographic features that allow a confi-dent, immediate diagnosis. Each caseis presented in an easy-to-follow for-mat and includes crucial take-awaypoints called “Aunt Minnie’s Pearls.”The cases represent all modalitiesand cover the ten subspecialtiestested on the oral boards—pediatrics,musculoskeletal system, interven-tional radiology, ultrasound, nuclearmedicine, neuroradiology, cardiopul-

monary imaging, mammography, gas-trointestinal radiology, and genitouri-nary radiology. This edition includesnew cases in each area. Hardcover,464 pp., 2003RSNA Member Price $89.10

B O O KMRI of the ShoulderMichael B. Zlatkin

Now in its Second Edition, this resi-dent-friendly reference explains thebasics of MRI...then walks readerseasily through the radiologic evalua-tion of shoulder disorders, particularlyrotator cuff disease and shoulderinstability. Written in an inviting, easy-to-follow style and illustrated withmore than 600 scans, this long-awaited new edition will be a favoritepractical reference for residents, prac-ticing radiologists, and orthopaedicsurgeons. The book features contribu-tions from expert radiologists andorthopaedic surgeons. Chaptersreview MRI techniques and shoulderanatomy, describe and illustrate MRIfindings for a wide variety of condi-tions, and explain how abnormalitiesseen on MR images relate to patho-physiology and clinical signs. Hard-cover, 306 pp., 2003RSNA Member Price $134.10

B O O KPhysics and Radiobiology ofNuclear MedicineGopal B. Saha

Supplemented with tables and illus-trations throughout the book, eachchapter provides the reader with well-delineated descriptions of the differ-ent aspects of physics and radiationbiology related to nuclear medicine.The last edition was successful andhighly acclaimed, as Dr. Saha mademany complex concepts readilyunderstandable for residents, stu-dents and practitioners in nuclearmedicine. The book serves as anexcellent text for nuclear medicineresidents and technology students toprepare for their Board and Registryexaminations. Hardcover, 253 pp.,2001RSNA Member Price $62.95

B O O KImaging of the Head and NeckMahmod F. Mafee

The key features of this book are:organization according to anatomicregions; extensive illustrations to helpthe reader distinguish between nor-mal and pathologic findings; imagingfindings correlated to sections fromcadavers; an extended chapter onMRI and MRA techniques in the tem-poral bone; a new chapter on theorbit and globe; new material on theanatomy and pathology of theparanasal sinuses for functional endo-scopic surgery; and state-of-the-artapproaches to neck pathology. It is an

excellent reference book for bothexperienced practitioners and resi-dents. Hardcover, 700 pp., *due11/04RSNA Member Price $224.95

B O O KDiagnostic Medical Sonography:Obstetrics and GynecologyMimi C. Berman

The goal of this book is to providea comprehensive discussion of eachtopic including anatomy, pathophysiol-ogy, sonographic theory, and sono-graphic technique along with repre-sentative ultrasonographic images.This text is intended to serve as bothan introduction to obstetrical/gyneco-logic ultrasound and as a long-termon-your-shelf reference. Hardcover,701 pp., 1997RSNA Member Price $113.35

B O O KMagnetic Resonance Imaging of the Brain and Spine. 2 Volume SetScott W. Atlas

Now in a new, Third Edition, thestill unparalleled Magnetic ResonanceImaging of the Brain and Spine deliv-ers cutting-edge information on nearlyevery aspect of clinical neuroradiol-ogy. Leading neuroimagers, innovativeMRI physicists, and veteran clinicalneurospecialists show how to gener-ate state-of-the-art images and delin-eate crucial clinical/pathologic MRimaging correlations. This edition fea-tures brand-new chapters on diffusionMRI, perfusion MRI, task activationfunctional MRI, epilepsy, and psychi-atric disorders and major revisions toexisting chapters. Updated imagesensure the clearest state-of-the-artviews. Differential diagnosis tableshave been reformatted for greaterclarity. The book has been dividedinto two manageable volumes foreasier use. Hardcover 2040 pp.,2002RSNA Member Price $269.10

Medical Interactive■ 370 Calle La Montana

Moraga, CA 94549(925) 284-1024www.medinter.com/rsna.htm

C D - R O MGamuts in Radiology Version 4.0By Maurice M. Reeder, M.D., with MRIGamuts by William G. Bradley Jr. and Ultra-sound Gamuts by Christopher R. Merritt

The innovative and versatileGamuts In Radiology 4.0 contains theentire Gamuts in Radiology 4th Edi-tion textbook, plus more than 5,000radiographic images. Gamuts 4.0covers every modality of radiologic

imaging, including ultrasound, CT,MRI, mammography, angiography andplain films.• A 19-member expert editorial

board has reviewed, expanded andupdated the existing gamuts,including references, and thenadded over 300 new gamuts (primarily in ultrasound, MRI andCT). Gamuts 4.0 now has morethan 1,700 lists of differential diagnoses!

• Over 4,000 new images have beenadded. Gamuts 4.0 now totals over5,000 teaching images, making itthe ultimate teaching resource forradiologist and resident training,and board review.

• Using its exhaustive database ofover 6,500 individual diagnosesand disease entities, Gamuts 4.0combines the strengths of artificialand human intelligence. The highlyinnovative Computer-Assisted Radiological Diagnosis System contained on the CD allows theradiologist to accurately make diagnoses or suggest a very limiteddifferential diagnosis in problemcases. Gamuts 4.0 is an essentialcomponent of any PACS or RIS sys-tem for solving complex cases andmaking diagnoses at the viewbox.

RSNA Member Price $247.00

C D - R O MEssentials of RadiologyBy Judith Korek Amorosa, M.D.

The Essentials of Radiology isdesigned to teach the basics of current radiology practice. It is usefulfor medical students (starting at anylevel), residents of all specialties, clinical colleagues, physician assis-tants, nurse practitioners, nurses,technologists, hospital administrators,managed care administrators, lawyersand lay support groups. This CD-ROMcontains over 330 interactive casesusing the well-established teachingmethods of Dr. Lucy Squire. In all,there are over 900 questionsincluded in the course and over2,300 images (including x-ray, CT,HRCT, MRI, nuclear imaging, staticultrasound, real-time ultrasound andreal-time fluoroscopy). This is truly acomprehensive overview of the essen-tials of radiology and represents over50 hours of radiology instruction forthe beginning student.RSNA Member Price $125.00

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19R S N A N E W SR S N A N E W S . O R G

Perfusion Imaging of theLiver: Current Challenges andFuture Goals

IMPROVED THERAPEUTIC options forhepatocellular carcinoma and

metastatic disease are placing greaterdemands on diagnostic and surveillancetests for liver disease.

Existing diagnostic imaging tech-niques provide limited evaluation oftissue characteristics beyond morphol-ogy; however liver perfusion imaginghas the potential to improve this short-coming.

In a review article in the March issue of Radiology(rsna.org/radiologyjnl), Pari V. Pand-haripande, M.D., from New York Uni-versity Medical Center, and colleaguesreview the physiologic and structuralbasis for perfusion imaging of the liver

as well as discuss the goals, techniquesand future challenges.

The article also includes “Essen-

tials” or highlighted points to help busyreaders recognize important informa-tion at a glance.

Imaging Evaluation of Pulmonary and AbdominalComplications followingHematopoietic Stem CellTransplantation

PATIENTS WHO UNDERGO the potentiallylife-saving therapy of hematopoietic

stem cell transplantation are at risk forinfectious and immune-mediated com-plications. Timely, accurate diagnosis isessential because these complicationsultimately determine the success or fail-ure of the transplantation, and radiologyserves as the cornerstone for diagnosticevaluation.

In a review arti-cle in the March-April issue of Radio-Graphics (rsna.org/radiographics),David L. Coy, M.D., Ph.D., from theUniversity of Washington in Seattle, and

colleagues review the imaging charac-teristics, risk factors and usual time

course of common pulmonaryand abdominal complications of

hematopoietic stem cell transplantation.Discussion includes:

• Differences between conventionalmyeloablative and nonmyeloablative

hematopoietic stem cell transplantation.• Typical radiologic manifestations of

specific pulmonary and abdominal com-plications of stem cell transplantation.

• Time course and risk factors for specificposttransplantation complications.

Journal Highlights

Secondary alveolar proteinosis following stem cell transplantation. CT scans obtained at different levels show geographically distributed ground-glassattenuation and interlobular septal thickening.(RadioGraphics 2005;25:305-318) © 2005 RSNA. All rights reserved. Printed with permission.

RSNA JOURNALS

The following are highlights from the current issues of RSNA’s two peer-reviewed journals.

ba

Sample color segmentation demonstrated with representative coronal and transverse imagesfrom dynamic three-dimensional gradient-echo whole-liver perfusion MR imaging studies ina 39-year-old man without cirrhosis (transverse and coronal imaging studies were performedindependently). Semiautomated segmentation algorithms enable efficient color-based dis-crimination of aorta (red), portal vein and its branches (green), liver parenchyma (blue),and hepatic veins and inferior vena cava (dark yellow). Region-of-interest analyses of aortic,portal venous, and liver parenchymal enhancement on the basis of semiautomated segmen-tation algorithms subsequently can be used for compartmental modeling.(Radiology 2005;234:661-673) © 2005 RSNA. All rights reserved. Printed with permission.

This article meets the criteriafor 1.0 category 1 CME credit.

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20 R S N A N E W S M A R C H 2 0 0 5

A press release has been sent to the medical news media that combinesinformation from the following articles appearing in the March issue ofRadiology (rsna.org/radiologyjnl):

Radiology in Public Focus

Early-Stage Hepatocellular Carcinoma in Patients with Cirrhosis: Long-term Results of Percutaneous Image-guidedRadiofrequency Ablation

RADIOFREQUENCY (RF) ablation is aneffective first-line treatment for cir-

rhotic patients with early-stage hepato-cellular carcinoma (HCC) who wereexcluded from surgery.

Riccardo Lencioni, M.D., and col-leagues from the University of Pisa,Via Roma in Italy performed RF abla-tion on 187 patients who had Childclass A or B cirrhosis with HCC.

One year following treatment, 97percent of the patients were alive. At

year three, 71 percent were aliveand at year five, 48 percent ofpatients were alive.

The researchers write: “Find-ings from our study indicate thatRF ablation can be currently con-sidered as the first-line treatment ofchoice for patients with early-stageHCC who were excluded from surgery.Ethanol injection and segmentaltransarterial chemoembolization, how-ever, may still have a valuable role for

those patientswho are not suit-able candidatesfor RF ablationbecause of anunfavorabletumor location.Appropriate useof each treatmenttechnique can beaccomplished

only when the therapeutic strategy isdecided by a multidisciplinary teamand is tailored to the individual patientand to the features of the disease.”(Radiology 2005;234:961-967)

RSNA JOURNALS

Radiofrequency Ablation of Hepato-cellular Carcinoma:Treatment Success as Defined by Explant Pathology

IN A SECOND STUDY

featured in the pressrelease, David S.K. Lu,M.D., and colleaguesfrom the University ofCalifornia, Los AngelesSchool of Medicine retro-spectively evaluated theeffectiveness of RF abla-tion of HCC using patho-logic examination of theexplanted liver.

Forty-seven HCCnodules in 24 patients were treated withRF ablation in single or double sessionsprior to liver transplantation.

Based on histology, 35 of the 47 (74 percent) ablated tumors were foundto be successfully treated after a mean

ablation-transplantation interval of 7.5months. These included 29 of 35 (83 per-cent) tumors less than three centimeters.(Radiology 2005;234:954-960)

Images of a 33-year-old man with chronic hepatitis B. (a) Contrast-enhanced transverse spoiled gradient-recalled-echo MR image obtained before ablation shows two hypervascular lesions in segments V (black arrow) and VI (white arrow). (b) Contrast-enhanced transverse CT image obtained 3 weeks after ablation shows hypoattenuat-ing, nonenhancing coagulation defects at the treatment sites (arrows) with no abnormal nodularenhancement suggesting residual tumor.© 2005 RSNA. All rights reserved. Printed with permission.

RSNA press releases are available atwww.rsna.org/media.

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RSNA Membership & Subscriptions Department

UNDER THE leadership ofDirector Kolleen Klein, theMembership & Subscrip-

tions department comprises ninepeople. They handle all customerservice inquiries from members,potential members, radiologyprogram directors and radiologyprogram coordinators. Inquiriesrange from member-ship status and duespayments, to journalsubscriptions andonline member services. TheMembership & SubscriptionsDepartment reports to RSNAAssistant Executive DirectorMark Watson, C.P.A.

21R S N A N E W SR S N A N E W S . O R G

Working For You

If you have a colleague who would like to become an RSNA member, you can download an application at rsna.org/mbrapp or contact the RSNA Membershipand Subscription Department at (877) RSNA-MEM [776-2636] (U.S. and Canada), (630) 571-7873 or [email protected].

RSNA MEMBER BENEFITS

Top Stories in RSNA News as Viewed on RSNA.orgRSNA News is available online two weeks prior to the mailing of the print version. A review of the stories accessed online in 2004 shows the following 10 as being the most popular:ARTICLE TITLE ISSUE PAGE VIEWS IN 2004*

iPod Helps Radiologists Manage Medical Images December 2004 40,936

Scientific Program Reflects RSNA 2004’s Role as a Global Forum October 2004 6,422

Salaries Rise for Radiologists in 2002 October 2003 6,085

Radiologist Assistants will Share the Workload in Diagnostic Imaging February 2004 5,994

Radiologist Shortage Easing, Physician Shortage Growing April 2004 5,469

Diagnostic Radiology Earns Highest Four-Year Pay Increase October 2004 4,517

Medical-Legal Jury Trial at RSNA 2004 September 2004 3,997

RSNA 2004 to Feature Focus Session on Medical Simulators October 2004 3,911

Interventional Radiology Carries Occupational Risk for Cataracts June 2004 3,738

RSNA Eases Way for MOC Requirements May 2004 3,568* The number of page views is for the 2004 calendar year only.

(seated from left) Laurie May, Director Kolleen Klein and Hilary Gentile. (standing from left) Carolyn Gibson, Glenn Domingo, Rajshree Dave, Marta Osadzinskiand Barbara Hanson. (not pictured) Helen Chantos.

Working for youGROUP PROFILE

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22 R S N A N E W S M A R C H 2 0 0 5

Program and Grant Announcements

RSNA Award Deadlines Approach

THE DEADLINE IS April 15, 2005, tosubmit an application for the 2005Roentgen Resident/Fellow

Research Award. This award recog-nizes and encourages residents and fellows who have played an active rolein radiologic research in the past year.Participating North American residencyprograms receive an award plaque withroom for each year’s nominee. The

Foundation provides a person-alized, crystal award for thedepartment to present to theselected resident or fellow.

The deadline is June 15,2005, to submit an applicationfor the 2005 Outstanding Researcherand Outstanding Educator awards.These awards recognize and honor sen-ior physicians or scientists who have

made a career of significantcontributions to the field ofradiology or radiologic sci-ences through research and/oreducation. The awardees willbe announced during the open-

ing session of RSNA 2005.For more information, including an

application, go to www.rsna.org/research/foundation/application.html.

RSNA EDUCATION

Business Strategies for Radiology LeadersRSNA is sponsoring this three-day course designed forradiologists in leadership positions in academic andprivate practice. The course, directed by Lawrence R.Muroff, M.D., is alsofor radiology businessmanagers. It will beheld July 29–31 at theHotel Inter-Continentalin Chicago.

Course topicsinclude: • Strategic Planning• Radiology Department

Budgeting • Business Infrastructure • Contracting with Man-

aged Care Entities • Contracts Between

Radiology Groups andTheir Group Membersand Hospitals

• Turf Battles in Radiology• Joint Ventures Between Hospitals and Radiology

Groups • Self-Referral in Diagnostic Radiology • Marketing a Radiology Practice

The course also explores obstacles facing today’sradiology practices—financial issues, strategic plan-ning, billing, compliance, contracts and legal matters—any ways to successfully navigate these challenges.

For more information, contact the RSNA EducationCenter at (800) 381-6660 x 3747 or at [email protected].

NEW!

IGI Supplemental Awards The Image-Guided Interventions (IGI) Branch of the CancerImaging Program (CIP) at the National Cancer Institute (NCI)has teamed up with the NCI Cancer Centers Program and Spe-cialized Programs of Research Excellence (SPOREs) to offer IGIsupplemental awards aimed at stimulating translational researchin oncologic image-guided interventions at the Cancer Centersand SPOREs. The awards are available to cancer center investi-gators and SPORE directors, as well as their co-investigators andclinical and basic scientists in other departments.

The deadline is May 1, 2005, to submit a letter of intent.Applications are due June 1, 2005.

For more information, contact: Keyvan Farahani, Ph.D., at [email protected].

NEW!

Medical Communications and Health ReportingConferenceThe American Medical Association hosts an annual conference toenhance the communications skills of physician spokespersons,medical experts and public relations profes-sionals. This year’s conference will beheld April 14–16 at the Wyndham Wash-ington, D.C.

For more information, including afull course listing, go to www.ama-assn.org/go/hrc2005.

21 CME credits available

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23R S N A N E W SR S N A N E W S . O R G

Methods in Clinical Cancer Research

THIS LIMITED-ATTENDANCE workshop providesthe essentials of effective clinical trial design.

Sponsored by the American Society of ClinicalOncology and the American Association forCancer Research, the workshop is designed forclinical fellows and junior faculty clinicalresearchers in all subspecialties including radiol-ogy and radiation and surgical oncology. Theworkshop will be held July 30–August 5 at theVail Marriott Mountain Resort in Vail, Colorado.

For more information, go to www.aacr.org/4300m.asp.

Planning for the Filmless TransitionRSNA and the Society for Com-puter Applications in Radiology(SCAR) are spon-soring this one-daycourse that will be held on June 1at the Orlando World Center Mar-riott in Florida. Topics include:• Changing Expectations• Workflow Analysis• Assembling the PACS Team• Practical Guide to Vendor Selec-

tion and PACS Purchase

• Design Considerations for theFilmless Imaging Department

• Survival Guide for Teleradiology

and PACS Security• Developing an Enterprise-wide

PACS SolutionFor more information, go to

www.scarnet.net/2005RadiologyCourse.html.

RSNA Counselors Meet at RSNA 2004RSNA Counselors are appointed annually by the Board ofDirectors to help promote and interpret membership.They review new member applications, coordinate thepreparation of obituaries to be printed in Radiology, andalso provide input from the membership concerning theSociety’s educational programs.

(seated, from left) Teresita L. Angtuaco, M.D., Deborah A. Baum-garten, M.D., M.P.H., RSNA President David H. Hussey, M.D., MihraS. Taljanovic, M.D., and Gael J. Lonergan, M.D. (standing, from left)Carlos Bazan III, M.D., Richard Pershing Moser Jr., M.D., Gerald M.Mulligan, M.D., Mark L. Redick, Ph.D., M.D., John B. Whitaker,M.D., Adolfo Escobar-Prieto, M.D., Joseph A. Ronsivalle, D.O., andTerence T. Chan, M.D. To see a full list of counselors, go towww.rsna.org/about/whoswho/counselor.html.

RSNA MEMBER BENEFITS

6.5 CME credits available

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24 R S N A N E W S M A R C H 2 0 0 5

PLATINUM ($1,000 - $4,999)Teresita L. Angtuaco, M.D. & EdgardoAngtuaco, M.D.

John H. Rees, M.D.Michael I. Rothman, M.D.University Physician Associates of New Jersey

GOLD ($500 - $999)Lucinda & Luther H. Creed, M.D.Douglas F. Eggli, M.D.G. Scott Gazelle, M.D., Ph.D.James J. Haney III, M.D.Stacy & Scott B. Harter, M.D.Claire & Lawrence J. Reif, M.D.Melissa L. Rosado de Christenson, M.D.Corinne B. Winston, M.D.

SILVER ($200 - $499)Katrina B. Acosta, M.D.Dana & Brent H. Adler, M.D.Kenneth S. Allen, M.D.Anton M. Allen III, M.D.Rebecca S. Cornelius, M.D. & JamesArbaugh

Curtis W. Bakal, M.D., M.P.H.Juanito T. Baladad, M.D.Adrian A. Baranetsky, M.D.Richard T. Beeler, M.D.Dawn & Marshall E. Bein, M.D.Jessica F. Berkowitz, M.D. & KennethBerkowitz

Brent B. Birkin, M.D.Aurelia & Evelio R. Bofill, M.D.Tommie & Morton A. Bosniak, M.D.Brice T. Boughner, M.D.Luther W. Brady Jr., M.D.Charles R. Brite, M.D.Ben M. Brown, M.D.Stephen J. Bruny, M.D.William C. Burnette Jr., M.D.Nora A. Janjan, M.D. & Jack CalvinConstance Whitehead & M. PaulCapp, M.D.

Linda & Donald W. Chakeres, M.D.Balasundaram Chandra-Sekar, M.D.Joanne & William Chang, M.D.Jose G. Chavez-Perches, M.D.Kyu-Ho Choi, M.D.Mary & Robert A. Clark, M.D.Mary & Basil Considine Jr., M.D.Karen & Glendon G. Cox, M.D.Brenda Foreman & Anthony J. DeRaimo, M.D.

Larry B. Dixon, M.D.Evelyn & Jerome Dubowy, M.D.Melissa & Robert R. Edelman, M.D.Virginia Y. Yip, M.D. & Ron ElberAnne & Scott D. Flamm, M.D.Judy & Marc C. Flemming, M.D.Jessica & W. Dennis Foley, M.D.Michelle & R. Terrell Frey, M.D.Geoffrey A. Gardiner Jr., M.D.Grace & Kalyanmay Ghoshhajra,M.D.

Nancy J. Goldenberg, M.D.Steven C. Gross, M.D.Elisabeth Cohen & Robert I.Grossman, M.D.

Richard F. Grzybowski, D.O.Glenn M. Hammer, M.D.Jo Ann & Gerald T. Hanley, M.D.John A. Harding, M.D.Catherine & John H. Harris Jr.,M.D., D.Sc.

David F. Hayes, M.D.Harriet & James C. Hewitt, M.D.Kathleen & David C. Hillman, M.D.Brian A. Howard, M.D.Mary & Peter R. Hulick, M.D., M.S.James R. Johnston, M.D.J. Daniel Jones, M.D.Joseph C. Jones, M.D.Katherine L. Griem, M.D.Howard Kahen, M.D.Kishore V. Kamath, M.D.Robert G. Kamholtz, M.D.Michael K. Kauff, M.D.Ajit K. Khanuja, M.D.Ravi P. Kodali, M.D.Fengming P. Kong, M.D., Ph.D.Somanath G. Kudchadkar, M.D.Richard E. Latchaw, M.D.Avelina E. Laxa, M.D.Michael H. Lev, M.D.Mary & Paul W. Lewis, M.D.Hans H. Lien, M.D., Ph.D.John A. Loewy, M.D.James D. MacGibbon, M.D.Charles E. Martin Jr., M.D.Laura & Vincent P. Mathews, M.D.James J. McCort, M.D.Erlinda S. McCrea, M.D. & JayMcCrea

David P. Mehfoud Jr., M.D.Priti & Ajay C. Mehta M.D.John Milbourn, M.D.Gerald J. Miller, M.D.

Charles J. Miller Jr., M.D.Jerome A. Molitor, M.D.Joel Mollin, M.D.Carol & Richard L. Morin, Ph.D.Kambiz Motamedi, M.D.Jeanette M. Moulthrop, M.D. &Mark Moulthrop

Susan Wendel, M.D. & Peter R.Mueller, M.D.

Paul F. Mulcahy, M.D.James F. Murphy, M.D.Koji Nakamura, D.D.S., Ph.D.Zdenka & Walter L. Olsen, M.D.Wendy & John D. O’Neil M.D.Hayler H. Osborn, M.D.K.S. Parameswar, M.D.Aruna & Manu N. Patel, M.D.Renuka M. Patel, M.D.Richard J. Patterson, M.D.Debra Jo Pennington, M.D. &Scott Pennington

Marvin W. Petry, M.D.

William R. Pfeiffer, M.D.Margaret A. Pierce, M.D.Joyce C. Pinckard, D.O.William O. Pischnotte, M.D.Susan & Larry Plosker, D.O.Mary Ellen & Donald A. Podoloff,M.D.

George L. Popky, M.D.Stuart H. Prather Jr., M.D.Christine & Robert M. Quencer, M.D.Norman I. Ristin, M.D.Justo Rodriguez, M.D.George I. Rosenberg, M.D.Sergio De Los Santos Sanchez, M.D.Kumaresan Sandrasegaran, M.D.Najmus Saqib, M.D.Lisa L. Schmelzel, M.D. & MarkElpers

Marsha & Michael P. Schwartz, M.D.Dana S. Schwartz, M.D.Mary & George C. Scott, M.D.Rita & Daniel L. Seale, M.D.

Richard J. Blair, M.D.In memory of Gopal Subramanian,Ph.D.

Jurgen Brandt, M.D.In memory of Prof. Benhard Swart

Nancy & Robert E. Campbell, M.D.In honor of Alice Ferris

Donald P. King, M.D.In memory of Dr. Jack Krohmer

Jeffrey J. Kornick, M.D.In memory of Janis Brown, M.D.

Phillip Lim, M.D.In honor of my wife, Vicky Lim

Daniel J. Pisano, M.D.In memory of Etta O’Toole Pisano

Ronald B. Port, M.D.In memory of Sylvia Senner

Carol M. Rumack, M.D. & BarryRumack, M.D.In memory of Derek Harwood-Nash,M.D., D.Sc.

V.A. Saxena, M.D.In honor of medical students

Gerald C. Smidebush, M.D.In honor of C. Douglas Maynard,M.D.

Sharlene A. Teefey, M.D.In memory of Robert E. Teefey

Corine Yee, M.D. & Michael T. Oliver,M.D.In memory of William & May Yee &Thomas F. Oliver

COMMEMORATIVE GIFTS

RESEARCH & EDUCATION OUR FUTURE

Research & Education Foundation Donors

THE BOARD OF TRUSTEES of the RSNA Research & Education Foundation and itsrecipients of research and educational grant support gratefully acknowledge the

contributions made to the Foundation December 23, 2004 – January 28, 2005.For more information on Foundation activities, a quarterly newsletter, Foundation X-aminer, is

available online at www.rsna.org/research/foundation/newsletters/x-aminer/x-aminer.pdf.

RSNA PRESIDENT’S CIRCLE $1,500 PER YEAR

William M. Angus, M.D., Ph.D.Claire E. Bender, M.D.Sallie & Michael H. Bleshman, M.D.Lisa & Jonathan Breslau, M.D.Michaele & Burton P. Drayer, M.D.Guy Frija, M.D.Phyllis & Barry B. Goldberg, M.D.Mary & Donald P. Harrington, M.D.Beverly B. Huckman & Michael S.Huckman, M.D.

Daniel H. Johnson Jr., M.D.

Marten KlopIvette & Remy J. Rodriguez, M.D.Carol M. Rumack, M.D. & BarryRumack, M.D.

V. Amod Saxena, M.D.Nancy & William T. Thorwarth Jr., M.D.Barbara N. Weissman, M.D. & IrvingWeissman, M.D.

Corine A. Yee, M.D. & Michael Oliver,M.D.

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25R S N A N E W SR S N A N E W S . O R G

Joan & Arthur J. Segal, M.D.Richard M. Seger, M.D.Frank E. Seidelmann, D.O.M. Christian Semine, M.D.Betsy & Carlton C. Sexton, M.D.Andrew H. Shaer, M.D.Hang C. Shen, M.D.Lori Ann Sheporaitis, M.D.Mark A. Singer, M.D.Puneet K. Singha, M.D.Rebecca & Wilbur L. Smith Jr., M.D.Thomas A. Sneed Jr., M.D.Lorna Sohn Williams, M.D.Marcia & J. Clyde Spencer, M.D.Gail E. Stokoe, M.D.Thomas D. Suby-Long, M.D.Stephen T. Sweriduk Jr., M.D.Mihra S. Taljanovic, M.D. & HuseinTaljanovic

Louis M. Teresi, M.D.Julia & John R. Thornbury, M.D.Matthias Tischendorf, M.D.Bonita & David A. Turner, M.D.Roger H. Tutton, M.D.Monica Bozzolo & Cristian Varela,M.D.

Manuel Viamonte Jr., M.D.Reynold M. Villedrouin, M.D.John M. Wentz, M.D.Philip J. Weyman, M.D.C. Amy Wilson, M.D.Muhammad A. Zaheer, M.D.Fernando M. Zalduondo, M.D.Joseph M. Zeigler, M.D.J.E. Fredrik Zetterberg, M.D.Robert D. Zimmerman, M.D.

BRONZE ($1 - $199)Marvin R. Abdalah, M.D.Annie & Mitchell D. Achee, M.D.Debra L. Acord, M.D.Susiz & Richard A. Ahlstrand, M.D.Ralph J. Alfidi, M.D.Kamran Ali, M.D.Amjad Ali, M.D.Luis A. Almeida Schiaffino, M.D.Ildefonso G.D. Almonte, M.D.Michael D. Ames, M.D.Randal C. Anderson, M.D.Florence & John E. Antoine, M.D.Kathleen & David E. Avrin, M.D.,Ph.D.

Ralph H. Baehr, M.D.Claudia R. Barrera, M.D.Dianne & Daniel D. Beineke, M.D.Carlos Bekerman, M.D.Marylynn & Richard M. Berger,M.D.

Kalpana & Shailesh M. Bhatt, M.D.James V. Blazek, M.D.Helene & Todd M. Blodgett, M.D.Eric A. Bogner, M.D.Charles W. Bower, M.D.Nancy & David Brake, M.D.Micheline & Guy Brassard, M.D.

George J. Broder, M.D.Maria P. C. D. Campos, M.D.Monica & Nils-Olov Carlsson, M.D.Lynn N. Carlton, M.D.Mary & Joseph N. Carre, M.D.Donna M. Cataldo, M.D.Viplava & Krishna Chadalavada,M.D.

Angela DuPont & Jean Chalaoui,M.D.

Wing P. Chan, M.D.Rivka & David S. Channin, M.D.Lik Fai Cheng, M.B.Ch.B.Joseph M. Chin, M.D.Gina A. Ciavarra, M.D.Louis Cipel, M.D.Janet & Mervyn D. Cohen,M.B.Ch.B.

Connie & Don R. Connell, M.D.Debbie A. Desilet-Dobbs, M.D. &Larry Dobbs

Nripendra C. Devanath, M.D.David J. Dowsett, M.Sc., Ph.D.Kathryn A. Draves, M.D.James P. DrollJoyce & John P. Eberts, M.D.Margaret & Jimmie L. Eller, M.D.Carlos E. Encarnacion, M.D.Lorenzo M. Farolan, M.D.Nancy R. Fefferman, M.D. &Edward Katz

Lauri & Irwin M. Feuerstein, M.D.Anna Rusztyn-Fitz & Charles R.Fitz, M.D.

John J. Fitzpatrick, M.D.Katherine W. Fong, M.D.Elaine M. Freiler, M.D.Mikihiko Fujimura, M.D.Glenn G. Garneys, M.D.Georgiana Gibson, M.D.Maryellen L. Giger, Ph.D.Andreas Giger, M.D.Janet & Henry I. Goldberg, M.D.Richard L. Goldwin, M.D.Alberto Gonzalez M.D.Jack A. Goode, M.D.Robert A. Goren, M.D.E. Richard Graviss, M.D.Katherine L. Griem, M.D.Carol & John W. Grudis, M.D.Sharon & Edward J. Hannon, M.D.Donald R. Hansard, M.D.Richard S. Hartman, M.D.Susan Hattori-Oyama, M.D.Joan & Albert E. Hesker, M.D.Judith & Robert C. Hewes, M.D.Michael L. Hill, M.D.Joseph H. Hise, M.D.Paul Ho, M.D.Roy A. Holliday, M.D.Daniel F. Housholder, M.D.Nancy & John R. Howard, M.D.Connie & George F. Hromyak Jr.,M.D.

Maya & Ishwar K. Jagasia, M.D.

Donald Louis Jeck, M.D.Dragan V. Jezic, M.D.Andrew J. Kalnin, M.D.Laura & Monty P. Karoll, M.D.Gregory A. Kaufmann, M.D.John C. Kelly, M.D.Kari & George M. Khoury, M.D.Mika Kitajima, M.D.Cassandra & Gerald M. Klein, M.D.Heather & Lance A. Klosterman,M.D.

Laura C. Knight, M.D.John D. Knudtson, M.D.Ronald B. Kolber, M.D.Robert Kricun, M.D.Man-Fai Kung, M.B.B.S.David C. Larson, M.D.Claudia A. Lawn, M.D.Ching-Pang & Su-Ju Lee, M.D.Howard E. Leventhal, M.D.Karen R. Levy, M.D.Christopher K.J. Lin, M.D.I. Jenna LiuJohn H. Lohnes, M.D.Eddy D. Lucas, M.D.Caroline J. Lundell, M.D.Alan G. Lurie, D.D.S., Ph.D.James W. Lyon, M.D.David C. Madoff, M.D.Elizabeth G. McFarland, M.D.Nancy & Charles W. McGuire, M.D.Mary AnnThomas F. McKay M.D.Attef A. Mikhail, M.D.Scott D. Mills, M.D.Rosanna T.A. Musselman, M.D.Andrew H. Myers, M.D.Tammy & L. Gill Naul, M.D.Hiroshi Nobusawa, M.D., Ph.D.Satoshi Noma, M.D., Ph.D.Ron O. Norman, M.D.Tamar & Alan E. Oestreich, M.D.Kaoru Okajima, M.D.Fukiat Ongseng, M.D.Judith A. Operchal, M.D.Jose K. Palma, M.D., M.S.Jin-Gyoon Park, M.D.Christoph A. Paselk, M.D.Lara M. Patriquin, M.D.Maurice R. Peters, M.D.Michael C. Peters, M.D.Beverly E. Hashimoto, M.D. &Vincent Picozzi, M.D.

Stephen D. Plichta Jr., M.D.Jeffrey S. Pollak, M.D.Randall S. Preissig, M.D.Yonglin Pu, M.D., Ph.D.George T. Puskar, M.D.Albert A. Rayle Jr., M.D.Shawn S. Reinhart, M.D.Sandra & Roger L. Rian, M.D.Jan Rijkmans, M.D.Steve N. Rindsberg, M.D.Janet & Grant P. Rine, Ph.D., M.D.George T. Ripeckyj, M.D.Natasha L. Robinette, M.D.

Stephanie & Wesley B. Roney, M.D.Vivian & Laercio A. Rosemberg, M.D.Robert J. Rosen, M.D.Laura & Lawrence N. Rothenberg,Ph.D.

G. Thomas Ruebel, M.D.Kenneth A. Rule, M.D.Marwan H. Saab, M.D.Ahmad Sadeghi, M.D.Doris & Robert E. Schaefer, M.D.Clark L. Searle, M.D.Christine & Walter P. Seyferth, M.D.Patrick F. Sheedy II, M.D.Karen S. Sheehan, M.D. & BrianCockrell

Michael J. Shortsleeve, M.D.Ezequiel Silva III, M.D.William Silverstein, M.D.Bruce D. Simonds, M.D.Tong O. Soon, M.Med., M.B.A.Shelley J. Spaner, M.D.Harry H. Steinmeyer Jr., M.D.Julie H. Stiles, M.D. & MichaelEngland

Ki-Jun Sung, M.D.Yumiko O. Tanaka, M.D. & MitsunobuOishi

Lai-Man & Simon Tang, M.B.B.S.Craig L. Taylor, M.D.Richard B. Thropp M.D.Douglas A. Trippe, M.D.Margaret & Glenn A. Tuckman, M.D.Vincent J. Turiano, M.D.Helmut G. Unger, M.D.Juan N. Useche, M.D.Kimberly & Theodore L. Vander VeldeII, M.D.

Kavita & Murugusundaram Veeramani,M.B.B.S.

George T. Veliath, M.D.Michael E. Waldman, M.D.John P. Walter, M.D.Qiubai & Liang Wang, M.D.Scott A. Weaver M.D.Petre I. Wecsler M.D.Chao-Jung Wei M.D., Ph.D.David J. Weitz, M.D.Scott D. Wiedenmann, M.D.John R. Wohlwend, M.D.David M. Wolf, M.D.Judith A. Wolfman, M.D.Rayeann & Scott F. Woomer, M.D.Alan J. Woronoff, M.D.Eileen Mercado-Yap, M.D. & WendellYap, M.D.

Wendell Y. Yap, M.D.David L. Yuille, M.D.

RESEARCH & EDUCATION OUR FUTURE

Online donations can be made atwww.rsna.org/research/foundation/donation.

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26 R S N A N E W S M A R C H 2 0 0 5

Important Dates for RSNA 2005

April 15 Deadline for abstract submission

April 25 Registration opens forRSNA and AAPM members

May 23 General registrationopens

June 20 Course enrollment opens

Nov. 11 Final advance registrationdeadline

Nov. 27–Dec. 2 RSNA 91st ScientificAssembly and AnnualMeeting

Submit Abstracts for RSNA 2005Abstract submission is under way forRSNA 2005. Abstracts are required forscientific papers, scientific posters,education exhibits, infoRAD exhibitsand radiology informatics.

The deadline to submit anabstract for consideration is April 15,2005.

To submit an abstract, go torsna.org/abstracts.

For more information about theabstract submission process, contactRSNA at (877) RSNA-ABS [776-2227]within the United States or (630) 590-7774 outside of the United States.

News about RSNA 2005

MEETING WATCH RSNA 2005

Media Coverage ofRSNA 2004

MORE THAN one billionpeople worldwide had

access to print, broadcastand Internet news reportsabout studies presented atRSNA 2004.

More than 180 reportersattended the meeting or par-ticipated in Webcasts, result-ing in more than 2,500 sto-ries on topics includingfMRI for lie detection, CTscreening for lung cancer,stem-cell treatment of incon-tinence and CT examinationof the remains of St. Croixsettlers.

Some of the major cov-erage was by The New YorkTimes, USA Today, WallStreet Journal, NBC NightlyNews, CNN, Voice of Amer-ica, National Public Radio and ABC Radio Network.

91st Scientific Assembly and Annual Meeting

November 27 — December 2, 2005

McCormick Place, Chicago

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27R S N A N E W SR S N A N E W S . O R G

■ For more information, contact RSNA Technical Exhibits at (800) 381-6660 x7851 or e-mail: [email protected].

RSNA 2005 Exhibitor News

Important Exhibitor Dates for RSNA 2005March 30 Exhibitor Prospectus

mails

May 5 First-round space assignment deadline

June 28 Exhibitor Planning/BoothAssignment Meeting

July 5 Technical Exhibitor Service Kit availableonline

Nov. 27–Dec. 2 RSNA 91st ScientificAssembly and AnnualMeeting

Exhibitor ProspectusThe RSNA 2005 Exhibitor Prospectuswill be mailed at the end of this month. Toachieve the maximumavailable space andassignment points, yourcompleted applicationmust be received atRSNA Headquarters byApril 11, 2005. Thefirst-round space assign-ment deadline is May 5.

Exhibitor Planning MeetingRepresentatives from 50 companiesexhibiting at RSNA 2004 attended theRSNA 2005 Exhibitor Planning Meetinglast month near O’Hare InternationalAirport. The meeting included a statisti-cal summary of the 2004 technical exhi-bition, an analysis of the technical exhi-bition by an outside consulting firm, andnew features and plans for 2005.

EXHIBITOR NEWS RSNA 2005

Advertising at RSNA 2005

MANY OPPORTUNITIES exist for companies to promote their exhibit at RSNA2005—the world’s largest annual medical meeting. For more information,

go to www.rsna.org/advertising/index.html or contact:■ Jim Drew

Director of Advertising(630) [email protected]

■ Judy KapicakSenior Advertising Manager(630) [email protected]

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29R S N A N E W SR S N A N E W S . O R G

RSNA.org

RSNA ON THE WEB

RSNA MEMBERS who haven’talready paid their 2005 dues cando so quickly and easily online

through a secure server.Go to www.rsna.org/renew. ➊

Log in with your member number(found on your RSNA News addresslabel) and password ➋ and then clickon Renew Membership. ➌

For more information or to renew

by phone, contact the RSNA Member-ship & Subscriptions Department tollfree at (877) RSNA-MEM or at (630)571-7873, or send an e-mail to [email protected].

ec o n n e c t i o n s Your online links to RSNARSNA.org www.rsna.orgRadiology Onlinersna.org/radiologyjnlRadiology Manuscript Centralrsna.org/radiologyjnl/submitRadioGraphics Onlinersna.org/radiographics

RSNA News rsnanews.orgEducation Portalrsna.org/educationCME Credit Repositoryrsna.org/cmeCME GatewayCMEgateway.org

RSNA Medical ImagingResource Centerrsna.org/mircRSNA Career Connectionsrsna.org/careersRadiologyInfo™

RSNA-ACR patient informationWeb siteradiologyinfo.org

RSNA Press Releasesrsna.org/mediaRSNA Online Products andServicesrsna.org/memberservicesRSNA Research & EducationFoundationMake a Donationrsna.org/donate

Community of Sciencersna.org/cosMembership Applicationsrsna.org/mbrappMembership Renewalrsna.org/renewRSNA Membership Directoryrsna.org/directory

OTHER WEB NEWS:

Teaching Module on Cardiothoracic ImagingYale University is offering a com-prehensive, self-teaching moduleon cardiothoracic imaging avail-able via the Web.

The site, at info.med.yale.edu/intmed/cardio/imaging/, wasdeveloped by a team led by C.Carl Jaffe, M.D., chief of theDiagnostic Imaging Branch of the

Cancer Imaging Program at theNational Cancer Institute, andaward-winning medical illustratorPatrick J. Lynch, M.S.

Users are free to incorporateelements of the site, with permis-sion, for non-commercial educa-tional use.

Renew Your Membership Online

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Medical Meetings April – May 2005

NONPROFIT ORG.U.S. POSTAGE

PAIDPERMIT #186

EASTON, PA 18042

RSNA News820 Jorie Blvd.Oak Brook, IL 60523(630) 571-2670Fax: (630) 571-7837E-mail: [email protected]

CALENDAR

APRIL 7–86th National Forum on Biomedical Imaging in Oncology, BethesdaHyatt Regency Hotel, Bethesda, Md. • cancer.gov/dctd/forum

APRIL 9–14American College of Radiology (ACR), Annual Meeting andChapter Leader Conference, Hilton Washington, Washington, D.C.• www.acr.org

APRIL 14–16 American Medical Association, 25th Annual Medical Communi-cations and Health Reporting Conference, Wyndham Washington,D.C. • www.ama-assn.org/go/hrc2005

APRIL 19–2210th International Conference on Occupational Respiratory Diseases (10th ICORD), Occupational Respiratory Hazards in the21st Century: Best Practices for Prevention and Control, Beijing,China • www.ICORD2005.com

APRIL 21–24Sociedade Paulista de Radiologia e Diagnóstico por Imagem(SPR), 35th São Paulo Radiology Meeting, ITM Convention Center, São Paulo, Brazil • www.spr.org.br

APRIL 28–30European Society of Gastrointestinal and Abdominal Radiology(ESGAR), 3rd Hands-on Workshop: CT-Colonography, Brugge,Belgium • www.esgar.org

MAY 3–7Society for Pediatric Radiology (SPR), 48th Annual Meeting,Sheraton New Orleans, New Orleans • meeting.pedrad.org

MAY 4–7Association of University Radiologists (AUR), 53rd Annual Meeting, Fairmont Queen Elizabeth Hotel, Montreal, Quebec • www.aur.org

MAY 4-7Deutscher Röntgenkongress 2005, 86th German Radiology Congress, Berlin, Germany • www.drg.de

MAY 6–8Section for Magnetic Resonance Technologists (SMRT), 14thAnnual Meeting, Miami Beach Convention Center•www.ismrm.org/smrt

MAY 7–13International Society for Magnetic Resonance in Medicine(ISMRM), 13th Scientific Meeting and Exhibition, MiamiBeach Convention Center • www.ismrm.org

MAY 11–14Japanese Society of Angiography & Interventional Radiology,34th Annual Meeting and 9th International Symposium on Interventional Radiology & New Vascular Imaging, AwajiYumebutai International Conference Center, Hyogo, Japan • www.isir-jsair2005.jp

MAY 15–20American Roentgen Ray Society (ARRS), 105th Annual Meeting, New Orleans Hilton Riverside Hotel and Towers, New Orleans • www.arrs.org

MAY 21-26American College of Medical Physics, Annual Meeting, Wyndham Orlando Resort, Orlando • www.acmp.org

MAY 21–27American Society of Neuroradiology (ASNR), 43rd AnnualMeeting, Metro Toronto Convention Centre, Toronto, Ontario • www.asnr.org

MAY 25–2856th Nordic Radiological Congress, 17th Nordic Congress ofRadiographers, 33rd Annual Meeting of Nordic Society of Neu-roradiology, Radisson SAS Scandinavia Hotel, Oslo, Norway • www.congrex.no/radio2005

MAY 25–28Society of Breast Imaging (SBI), 7th Postgraduate Course, Vancouver Convention and Exhibition Centre, Vancouver,British Columbia • www.sbi-online.org

JULY 29–31Business Strategies for Radiology Leaders, RSNA, Hotel Inter-Continental in Chicago • www.rsna.org/education/offerings/index.html

NOVEMBER 27–DECEMBER 2RSNA 2005, 91st Scientific Assembly and Annual Meeting,McCormick Place, Chicago • rsna2005.rsna.org